Social Safety Theory: A Biologically Based Evolutionary Perspective on Life Stress, Health, and Behavior
Open accessAbstract
Social Safety Theory hypothesizes that developing and maintaining friendly social bonds is a fundamental organizing principle of human behavior and that threats to social safety are a critical feature of psychological stressors that increase risk for disease. Central to this formulation is the fact that the human brain and immune system are principally designed to keep the body biologically safe, which they do by continually monitoring and responding to social, physical, and microbial threats in the environment. Because situations involving social conflict, isolation, devaluation, rejection, and exclusion historically increased risk for physical injury and infection, anticipatory neural–immune reactivity to social threat was likely highly conserved. This neurocognitive and immunologic ability for humans to symbolically represent and respond to potentially dangerous social situations is ultimately critical for survival. When sustained, however, this multilevel biological threat response can increase individuals’ risk for viral infections and several inflammation-related disease conditions that dominate present-day morbidity and mortality.
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Written from the paper’s full text.
TL;DR
Social Safety Theory proposes that forming and maintaining friendly social bonds is a fundamental organizing principle of human behavior, and that threats to social safety are key psychological stressors that increase disease risk. It integrates immune, neural, and neuroimmune evidence to argue that social threat engages conserved inflammatory responses that, when sustained, contribute to viral infections and inflammation-related disease.
Key findings
- Social safety and social integration are linked to better health: a meta-analysis of 148 studies and 308,849 participants followed for an average of 7.5 years found being socially well integrated was associated with a 91% increase in odds of survival (OR = 1.91; 95% CI [1.63, 2.23]); another meta-analysis of 41 studies and 73,037 participants found lower inflammatory markers TNF-α, IL-6, CRP, and fibrinogen (Zr = −0.076; 95% CI [−0.11, −0.04]).
- Social threat predicts mortality and morbidity: adjusted mortality odds were 1.26 for low socioeconomic status (95% CI [1.21, 1.32]), 1.26 for perceived loneliness (95% CI [1.04, 1.53]), 1.29 for social isolation (95% CI [1.06, 1.56]), and 1.32 for living alone (95% CI [1.14, 1.53]), translating to roughly 2.1 years of reduced life expectancy by age 40. Targeted rejection stressors hasten depression onset, promote suicidal ideation, alter inflammatory signaling, and accelerate biological aging as indexed by telomere length.
- Proposed mechanisms involve four neural networks (amygdala, mentalizing, empathy, mirror neuron) and four neural–immune pathways (sympathetic nervous system, HPA axis, vagus nerve, meningeal lymphatic vessels) that enable “social signal transduction”; cytokines are described as critical mediators affecting physiology, cognition, and behavior.
- Several moderators are proposed: genetics (e.g., OPRM1 rs1799971, IL6 −174G>C), sleep, childhood microbial environment, diet/adiposity, birth cohort, air pollution, and self-harm. For example, parental absence predicted 47% higher CRP in young adulthood for those with low infancy animal-feces exposure versus 17% lower CRP for those with high exposure; PM2.5 <12 μg/m3 was associated with a 13.6% increase in all-cause mortality (HR = 1.136; 95% CI [1.131, 1.141]).
Methods
- Design: conceptual/theoretical review and theory-building paper; it proposes Social Safety Theory and reviews evidence for its three main tenets.
- Data or sample: no primary sample or new empirical data are reported; it synthesizes existing literature from anthropology, psychology, sociology, epidemiology, and public health, including cited meta-analyses, cohort studies, and experimental studies.
- Main analysis: narrative integration of prior stress theories, immune system function, social brain networks, neural–immune communication, and evidence for social safety and threat effects; no systematic review search or quality-appraisal methods are stated.
Limitations
- Stated in the paper: stress research lacks consensus on definitions and on which social-environmental adversities are most deleterious; epidemiologic studies are not designed to discern what about social threat is most harmful; no studies have examined within-person associations between nonsuicidal self-injury, inflammation, and social safety/threat; acetaminophen is the only biologically informed strategy listed and is far from accepted; future longitudinal studies are needed.
- Evident from the text: as a narrative review, it does not systematically search or appraise evidence or directly test the theory as a whole; causal and mechanistic claims rely on cited studies, and several proposed moderators (e.g., birth cohort, air pollution, self-harm) are presented as needing future research.
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Cites
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Claims the paper makes
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- Findingcitation
Sustained social threat heightens inflammatory reactivity to social stress.
“being exposed to sustained social threat characterized by verbal attacks, social exclusion, devaluation, and aggression heightens inflammatory reactivity to social stress (Giletta et al. 2018)”
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- Findingcitation
Sleep disturbance is a strong predictor of inflammation-related disease risk and all-cause mortality.
“Sleep disturbance (e.g., difficulty falling or staying asleep, nonrestorative sleep, early-morning awakening) is a strong predictor of both inflammation-related disease risk and all-cause mortality (Irwin 2019).”
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- Findingcitation
Social threat can promote anger, procrastination, aggression, withdrawal, and externalizing behaviors such as fighting, cursing, cheating, rule breaking, and stealing.
“it can promote anger, procrastination, aggression, and withdrawal as well as a variety of externalizing behaviors, such as fighting, cursing, cheating, rule breaking, and stealing (Leary 2001).”
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- Findingcitation
Socioeconomic status and subjective social status are strong predictors of all-cause mortality.
“socioeconomic status and subjective social status, which are strong predictors of all-cause mortality (see Adler & Rehkopf 2008, Muscatell et al. 2018).”
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- cites Muscatell et al. 2018
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- Findingcitation
Social isolation is associated with about 29% increased likelihood of mortality over time (OR 1.29, 95% CI 1.06-1.56).
“29% for social isolation (OR = 1.29; 95% CI [1.06, 1.56])”
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- Findingcitation
The SNS/βAR-driven IL6 gating effect on mortality was evident only for inflammation-related causes of death: cardiovascular disease, Alzheimer's disease, and cancer.
“this SNS/βAR-driven IL6 gating effect on mortality was evident only for inflammation-related causes of death—namely, cardiovascular disease, Alzheimer’s disease, and cancer.”
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- Findingcitation
In adjusted models, low socioeconomic status is associated with about 26% increased likelihood of mortality over time (OR 1.26, 95% CI 1.21-1.32).
“26% for low socioeconomic status (OR =1.26; 95% CI [1.21, 1.32])”
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Targeted rejection stressors hasten onset of depression.
“these so-called targeted rejection stressors hasten onset of depression (Slavich et al. 2009)”
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- Findingcitation
Living alone is associated with about 32% increased likelihood of mortality over time (OR 1.32, 95% CI 1.14-1.53).
“32% for living alone (OR = 1.32; 95% CI [1.14, 1.53])”
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- Findingcitation
In 168 women with epithelial ovarian cancer, having a socially safe relationship with stable emotional security was associated with a 34% lower hazard of death over 7 years.
“having a socially safe relationship characterized by a stable sense of emotional security was associated with a 34% lower hazard of death during the 7-year study period (Lutgendorf et al. 2012).”
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- Findingcitation
Older adults with high social adversity homozygous for the GATA1-sensitive G allele died 2.8 years sooner on average than those with the GATA1-insensitive C allele.
“older adults experiencing high levels of social adversity who were homozygous for the GATA1-sensitive G allele died 2.8 years sooner (on average) than their counterparts bearing the GATA1-insensitive C allele.”
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- Findingcitation
In a meta-analysis of 41 studies and 73,037 participants, greater social integration was associated with lower levels of TNF-α, IL-6, CRP, and fibrinogen (Zr = −0.076; 95% CI −0.11 to −0.04).
“being socially well integrated was associated with lower levels of the inflammatory markers TNF-α, IL-6, C-reactive protein (CRP), and fibrinogen (Zr = −0.076; 95% CI [−0.11, −0.04]) (Uchino et al. 2018).”
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- Findingcitation
Targeted rejection stressors promote suicidal ideation.
“promote suicidal ideation (Massing-Schaffer et al. 2019)”
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- Findingcitation
In a meta-analysis of 148 studies and 308,849 participants followed for an average of 7.5 years, greater social integration was associated with 91% higher odds of survival (OR 1.91, 95% CI 1.63-2.23).
“being socially well integrated was associated with a 91% increase in odds of survival [odds ratio (OR) =1.91; 95% confidence interval (CI) [1.63, 2.23]] (Holt-Lunstad et al. 2010).”
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- Findingcitation
Targeted rejection stressors upregulate molecular signaling pathways that increase inflammatory activity.
“upregulate molecular signaling pathways that increase inflammatory activity (Murphy et al. 2013)”
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- Findingcitation
Sustained social threat promotes increased proinflammatory/reduced antiviral skewing of the leukocyte basal transcriptome structured by NF-κB, AP-1, CREB, and glucocorticoid receptor pathways.
“promotes an increased proinflammatory/reduced antiviral skewing of the leukocyte basal transcriptome that is structured by the social signal transduction pathways described previously (i.e., NF-кB, AP-1, CREB, and the glucocorticoid receptor) (Thames et al. 2019)”
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- Findingcitation
Perceived loneliness is associated with about 26% increased likelihood of mortality over time (OR 1.26, 95% CI 1.04-1.53).
“26% for perceived loneliness (OR = 1.26; 95% CI [1.04, 1.53])”
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- Findingcitation
Sustained social threat accelerates biological aging as indexed by telomere length.
“accelerates biological aging as indexed by telomere length (Guarneri-White et al. 2018)”
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- Findingcitation
Targeted rejection stressors downregulate molecular signaling pathways that reduce inflammatory activity.
“downregulate molecular signaling pathways that reduce inflammatory activity (Murphy et al. 2015)”
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- Findingcitation
Actual or perceived social threat can reduce prosocial behaviors including helping, donating, and cooperating.
“Actual or perceived social threat can also reduce prosocial behaviors, including helping, donating, and cooperating (Twenge et al. 2007).”
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- Findingcitation
Psychological research points to interpersonal loss and social rejection as particularly deleterious.
“psychological research has pointed to a combination of interpersonal loss and social rejection as being particularly deleterious (Slavich et al. 2010a).”
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- Findingcitation
In 91 older adolescents in the US, early-life conflict, violence, harsh discipline, and unaffectionate/neglectful parenting predicted IL-6 reactivity to TSST only for youth with greater total body and abdominal adiposity.
“experiences of early-life conflict, violence, harsh discipline, and unaffectionate or emotionally neglectful parenting predicted youths’ IL-6 reactivity to the TSST but only for youth with greater total body and abdominal adiposity as measured by BMI and waist circumference, respectively (Chiang et al. 2017).”
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- Findingcitation
In 600 Chilean youth followed since infancy, greater exposure to serious interpersonal conflict in infancy interacted with BMI to predict higher basal serum CRP in adolescence.
“greater exposure to serious interpersonal conflict in infancy (e.g., parental fights, family conflict, marital separation or divorce) interacted with youths’ BMI to predict higher basal serum CRP levels in adolescence.”
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- Findingcitation
In 60,925,443 US adults, exposure to PM2.5 <12 μg/m3 was associated with a 13.6% increase in all-cause mortality (HR 1.136, 95% CI 1.131-1.141).
“exposure to PM2.5 <12 μg/m3 was associated with a 13.6% increase in all-cause mortality (hazard ratio = 1.136; 95% CI [1.131, 1.141]).”
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- Findingcitation
In an analysis of epidemiologic data from six countries over nearly 100 years, an abrupt worldwide change in human infections of avian influenza A/H5N1 and A/H7N9 around birth year 1968 could be attributed solely to widespread use of a new flu vaccine.
“Gostic et al. (2016) analyzed epidemiologic data from six countries over nearly 100 years and showed that an abrupt worldwide change in human infections of avian influenza A/H5N1 and A/H7N9 around birth year 1968 could be attributed solely to the widespread use of a new flu vaccine.”
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- Premisecitation
The human immune system starts relatively undifferentiated during infancy and becomes increasingly educated as a person ages, refining its functional capacity and regulation.
“the human immune system starts off relatively undifferentiated during infancy and becomes increasingly educated as a person ages. This process refines the functional capacity and regulation of each individual’s immune system”
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- Premisecitation
Most articles over the past century conceptualized life stress as a single, unitary construct with little attention to varying health consequences.
“most articles published over the past century subsequently conceptualized life stress as a single, unitary construct, with little attention paid to how different stressors might have varying consequences for health (Hammen 2005, Monroe 2008, Slavich et al. 2010a)”
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- Interpretationreasoning
When sustained, the multilevel biological threat response can increase risk for viral infections and inflammation-related disease conditions.
“When sustained, however, this multilevel biological threat response can increase individuals’ risk for viral infections and several inflammation-related disease conditions that dominate present-day morbidity and mortality”
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- Interpretationreasoning
Not all stressors are equally likely to impact health.
“not all stressors are equally likely to impact health”
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Exposure to life stress and adversity can negatively affect human functioning, disease risk, and longevity.
“exposure to life stress and adversity can negatively affect human functioning, disease risk, and longevity (Lupien et al. 2009, Shields & Slavich 2017)”
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This basic motivation structures social cognition and behavior.
“this basic motivation structures social cognition and behavior (Gilbert 2005)”
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- Interpretationreasoning
Anticipatory neural-immune reactivity to social threat was likely highly conserved because social conflict, isolation, devaluation, rejection, and exclusion historically increased risk for physical injury and infection.
“Because situations involving social conflict, isolation, devaluation, rejection, and exclusion historically increased risk for physical injury and infection, anticipatory neural–immune reactivity to social threat was likely highly conserved”
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Humans are fundamentally motivated to socially connect.
“humans are fundamentally motivated to socially connect (Baumeister & Leary 1995)”
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- Premisereasoning
The immune system fine-tunes itself based on input from the surrounding social, physical, and microbial environment.
“the immune system relies on a complex regulatory logic that evolved over millennia and that fine-tunes itself based on input from the surrounding social, physical, and microbial environment”
Quote in the paperSubstantial claim - Interpretationreasoning
The human neurocognitive and immunologic ability to symbolically represent and respond to potentially dangerous social situations is critical for survival.
“This neurocognitive and immunologic ability for humans to symbolically represent and respond to potentially dangerous social situations is ultimately critical for survival”
Quote in the paperSubstantial claim - Premisecitation
Threats to social standing can affect health.
“threats to social standing can affect health (Dickerson 2008, Kemeny 2009)”
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- cites Kemeny 2009
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- Premisenone given
Social-psychological perspectives on social bonds and health have not been well integrated into existing theories of stress, resulting in two largely distinct literatures.
“these social-psychological perspectives have not been well integrated into existing theories of stress, leading instead to two largely distinct literatures”
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Interpersonal relationships are critical for survival.
“interpersonal relationships are critical for survival (Ainsworth et al. 1978)”
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- Premisecitation
Social rejection and exclusion may be particularly potent in affecting health.
“why social rejection and exclusion may be particularly potent in this regard (Allen & Badcock 2003, Williams 2007)”
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- Premisereasoning
Timing is critical to the ultimate effectiveness of the human immune response.
“Many factors determine the ultimate effectiveness of the human immune response, but few are more critical than timing”
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The human brain and immune system are principally designed to keep the body biologically safe by monitoring and responding to social, physical, and microbial threats.
“the human brain and immune system are principally designed to keep the body biologically safe, which they do by continually monitoring and responding to social, physical, and microbial threats in the environment”
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- Interpretationreasoning
Negatively biased perceptions of the self, social world, or future can unnecessarily activate and/or prolong the inflammatory response.
“negatively biased perceptions of the self, social world, or future can unnecessarily activate and/or prolong this response”
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The brain is directly connected to the periphery via meningeal lymphatic vessels.
“two landmark studies recently revealed that the brain is directly connected to the periphery via meningeal lymphatic vessels that were previously not known to exist (Aspelund et al. 2015, Louveau et al. 2015)”
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- Premisenone given
Cytokine receptors are present on virtually all neural cell types.
“cytokine receptors are present on virtually all neural cell types”
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Cortisol can reduce inflammatory and antiviral gene expression.
“Cortisol can reduce both inflammatory gene expression (e.g., IL1B, IL6, TNF) and antiviral gene expression (e.g., IFNA, IFNB) by suppressive binding to gene promoter sequences”
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- Premisecitation
The efferent vagus downregulates production of IL-1β, IL-18, and TNF-α via alpha7 nicotinic receptors that inhibit NF-κB activity.
“it downregulates the production of the inflammatory cytokines IL-1β, IL-18, and TNF-α via alpha7 nicotinic receptors that inhibit NF-κB activity (Thayer & Sternberg 2010)”
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The SNS can upregulate proinflammatory cytokine activity by releasing norepinephrine into peripheral tissues, lymphoid organs, and visceral and musculoskeletal structures.
“The SNS can upregulate proinflammatory cytokine activity by releasing the neurotransmitter norepinephrine into peripheral tissues, primary and secondary lymphoid organs, and most visceral organs and musculoskeletal structures (Irwin & Cole 2011)”
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The vagus nerve governs systemic inflammatory activity.
“the vagus nerve governs systemic inflammatory activity”
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The mirror neuron system enables individuals to simulate others' behavior to understand their goals, emotions, and actions.
“the mirror neuron system enables individuals to simulate others’ behavior to better understand their goals, emotions, and actions”
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- Interpretationreasoning
From the perspective of Social Safety Theory, what matters most is a stable sense of social inclusion, belonging, and connection to others who are friendly, emotionally supportive, and dependable.
“What matters most is a stable sense of social inclusion, belonging, and connection to others who are friendly, emotionally supportive, and dependable”
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Social safety is beneficial for human health and behavior.
“Social safety is beneficial for human health and behavior”
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The empathy network underpins prosocial concern, communication, and behavior.
“The empathy network underpins prosocial concern, communication, and behavior”
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- Interpretationcitation
Cytokines play a central role in structuring social safety-related effects by mediating numerous physiologic, immunologic, cognitive, and behavioral processes.
“Cytokines play a central role in structuring these social safety–related effects, as they mediate numerous physiologic, immunologic, cognitive, and behavioral processes”
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The HPA axis regulates peripheral proinflammatory cytokine activity primarily via cortisol.
“The HPA axis regulates peripheral proinflammatory cytokine activity primarily via the glucocorticoid cortisol”
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- Premisecitation
Comparative, developmental, neurobiological, and paleoanthropological research provides highly compelling, converging evidence that humans evolved to foster friendly, empathic relationships with one another.
“comparative, developmental, neurobiological, and paleoanthropological research provides highly compelling, converging evidence that humans evolved to foster friendly, empathic relationships with one another (Decety 2015, Hare 2017)”
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- Interpretationcitation
Humans evolved to foster social safety.
“Humans evolved to foster social safety”
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- cites Hare 2017
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- Premisecitation
Past adversity can cause epigenetic modification of the glucocorticoid receptor gene in the neural transcriptome, especially in the hypothalamus and amygdala, degrading HPA axis regulation of the inflammatory response.
“past adversity can cause epigenetic modification of the glucocorticoid receptor gene in the neural transcriptome, especially in the hypothalamus and amygdala, thereby degrading HPA axis regulation of the inflammatory response (McGowan et al. 2009)”
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- Interpretationnone given
Upregulating inflammatory activity is highly beneficial in response to actual physical or microbial danger.
“Although upregulating inflammatory activity is highly beneficial in response to actual physical or microbial danger”
Quote in the paperSubstantial claim - Interpretationcitation
The four pathways-SNS, HPA axis, vagus nerve, and meningeal lymphatic vessels-enable social signal transduction from the external social environment into internal biology that shapes health and behavior.
“Considered together, these four biological pathways (i.e., the SNS, HPA axis, vagus nerve, and meningeal lymphatic vessels) enable what we have previously referred to as social signal transduction—namely, the transmission of signals from the external social environment into the internal biological environment that shapes human health and behavior (Slavich & Cole 2013, Slavich & Irwin 2014, Slavich”
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- cites Slavich & Irwin 2014
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- Interpretationcitation
The neurocognitive ability to imagine threat can initiate biologically powerful processes even when they are not needed for survival.
“our neurocognitive ability to imagine threat can initiate biologically powerful processes even when they are not needed for survival”
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Historically, individuals who regularly deployed immune cells to relevant bodily compartments before tissue damage occurred would have been most likely to survive.
“Historically, individuals who regularly deployed immune cells to relevant bodily compartments in advance of tissue damage occurring would have been most likely to survive”
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The human ability to recall past social interactions and imagine future events enabled development of complex social networks based on coordination and cooperation.
“this unique neurocognitive capacity is what enabled humans to develop highly complex social networks based on coordination and cooperation in order to realize collective achievements that nonhuman primates never could (Barrett 2017, Silk 2007)”
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- Interpretationcitation
Whether these responses are helpful versus harmful depends on timing and regulation.
“The question of whether these responses are helpful versus harmful ultimately comes down to the issue of timing and regulation (Slavich 2015)”
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- Premisecitation
Together these neural networks form the social brain.
“Together, these neural networks form the so-called social brain (Dunbar & Shultz 2007)”
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- Interpretationcitation
Navigating the social environment in a manner that engenders chronic interpersonal stress can unnecessarily activate and/or prolong the inflammatory response.
“as can navigating the social environment in a manner that engenders chronic interpersonal stress (i.e., stress generation) (Hammen 2005)”
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- Interpretationcitation
If the multilevel biobehavioral response to social threat is not engaged only intermittently and during actual threat, it can heighten risk for viral infections and numerous inflammation-related conditions.
“Otherwise, the response can heighten a person’s risk for viral infections and numerous inflammation-related conditions including anxiety, depression, asthma, heart disease, stroke, and cancer, as well as several metabolic, autoimmune, and neurodegenerative disorders (Furman et al. 2019)”
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- Interpretationreasoning
Individuals who fostered greater social safety and mounted anticipatory inflammatory responses to social threat would have been most likely to survive and pass on their genes.
“Individuals who fostered greater social safety and who mounted anticipatory inflammatory responses to social threat would have been most likely to survive these challenging circumstances and pass on their genes”
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The capacity to monitor the environment, detect early signs of social threats that could increase risk for physical conflict or injury, and mount an anticipatory inflammatory response to such threats was likely highly conserved.
“the capacity to carefully monitor the surrounding environment, detect early signs of social threats that could have increased risk for physical conflict or injury, and mount an anticipatory inflammatory response to such threats was likely highly conserved”
Quote in the paperSubstantial claim - Premisecitation
The mentalizing network supports thinking about others' thoughts, feelings, intentions, and beliefs.
“The mentalizing network, in turn, subserves thinking about the thoughts, feelings, intentions, and beliefs of others”
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Animal model work has shown that cytokines play a critical mechanistic role in linking neuronal connectivity, immunity, and social behavior.
“recent animal model work has shown that they play a critical mechanistic role in linking neuronal connectivity, immunity, and social behavior (Filiano et al. 2016)”
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The afferent vagus senses peripheral inflammatory molecules and conveys an anti-inflammatory signal to the brain.
“the afferent arm of the vagus senses peripheral inflammatory molecules via afferent vagus nerve fibers and conveys an anti-inflammatory signal to neurons residing in the nodose and jugular ganglia that terminate in the nucleus tractus solitarius and medulla oblongata”
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- Interpretationreasoning
Impactful life stressors can be reconceptualized as acute or chronic exposures that were most likely to have increased individuals' risk for physical danger over the course of evolution.
“we can reconceptualize impactful life stressors as acute or chronic exposures that were most likely to have increased individuals’ risk for physical danger over the course of evolution”
Quote in the paperNot a substantial claim - Interpretationcitation
Symbolic, imagined, and perceived social threats can activate the same immunologic defense programs that evolved to combat actual physical threats.
“symbolic, imagined, and perceived social threats can activate the exact same immunologic defense programs that evolved to combat actual physical threats”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Slavich & Cole 2013
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- Premisecitation
Human self-domestication is subserved by abilities Homo sapiens developed over time, including mentalizing, perspective taking, cooperative communication, experiencing others' distress, tolerating social conflict, and exerting self-control over hostile and aggressive impulses.
“This so-called human self-domestication is subserved by several abilities that Homo sapiens developed over time, including the capacity to mentalize, perspective take, cooperatively communicate, experience others’ distress, tolerate social conflict, and exert self-control over hostile and aggressive impulses (Hare 2017)”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Hare 2017
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- Interpretationcitation
Perceived and actual social threats are among the most powerful predictors of poor health and harmful behaviors.
“perceived forms of social threat like loneliness—and actual social threats like social conflict, isolation, devaluation, rejection, and exclusion—are among the most powerful predictors of poor health and harmful behaviors.”
Quote in the paperSubstantial claim - Premisecitation
The neural mentalizing network and neuropeptide oxytocin played particularly important roles in generating prosocial behavior by enabling compassionate feelings and empathy toward others.
“The neural mentalizing network and neuropeptide oxytocin played particularly important roles in generating prosocial behavior, as they enabled humans to experience compassionate feelings and empathy toward others (Carter 2014, Kennedy & Adolphs 2012)”
Quote in the paperSubstantial claim0 of 2 sources checked- cites Carter 2014
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- cites Kennedy & Adolphs 2012
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- Interpretationcitation
IL6 genotype significantly moderates the social threat-health link.
“Differences in IL6 genotype thus appear to significantly moderate the social threat–health link.”
Quote in the paperSubstantial claim - Premisecitation
Human aggression is a by-product of natural selection for in-group prosociality.
“such aggression is believed to be the by-product of natural selection for in-group prosociality (Choi & Bowles 2007)”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Choi & Bowles 2007
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- Interpretationcitation
These abilities led to a strong preference for others who are friendly, emotionally warm, and socially safe.
“Ultimately, these abilities led to a strong preference for others who are friendly, emotionally warm, and socially safe (Hare 2017)”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Hare 2017
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- Premisecitation
Genetic variation plays a critical role in determining whether neurocognitive perceptions of social safety and threat are converted into health- and behavior-altering biology.
“variation in the human genome plays a critical role in determining the likelihood that neurocognitive perceptions of social safety and threat get converted into health- and behavior-altering biology.”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Slavich & Cole 2013
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- Interpretationreasoning
In evolutionary terms, physical threats are the most impactful stressors.
“Physical threats are the most impactful types of stressors from this evolutionary perspective, but such experiences are followed closely by social threats that historically increased risk for possible isolation, conflict, or wounding.”
Quote in the paperSubstantial claim- Rests on an assumption: Over millennia, the cellular self evolved to monitor its surroundings, detect threats, and produce anticipatory biobehavioral responses that gave the greatest adaptive advantage.
- Premisecitation
Neurocognitive representations of social safety and threat regulate inflammatory dynamics that affect human health and behavior.
“neurocognitive representations of social safety and threat are ultimately what regulate inflammatory dynamics that affect human health and behavior”
Quote in the paperSubstantial claim0 of 3 sources checked- cites Black & Slavich 2016
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- cites O’Donovan et al. 2013
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- cites Slavich et al. 2010b
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- Premisecitation
Stress research has long suffered from imprecise definitions derived from behavior, leading to conceptual, empirical, and reproducibility problems.
“In conclusion, stress research has long been hampered by imprecise, behaviorally derived definitions that have caused countless conceptual, empirical, and reproducibility issues.”
Quote in the paperNot a substantial claim0 of 3 sources checked- cites Cohen et al. 2019
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- cites Malat et al. 2017
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- cites Monroe & Slavich 2020
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- Interpretationreasoning
Social threats are the next most impactful stressors after physical threats.
“Physical threats are the most impactful types of stressors from this evolutionary perspective, but such experiences are followed closely by social threats that historically increased risk for possible isolation, conflict, or wounding.”
Quote in the paperSubstantial claim- Rests on an assumption: Over millennia, the cellular self evolved to monitor its surroundings, detect threats, and produce anticipatory biobehavioral responses that gave the greatest adaptive advantage.
- May combine two claims. 48
- Classified as probably not a substantial claim. 16
- The quote only partly states this claim. 4
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FindingcitationGreater social safety is associated with better outcomes in acute myocardial infarction, amputation, acquired brain injury, substance dependence treatment, HIV/AIDS, stroke, heart disease, and cancer.
“individuals with greater social safety exhibit better outcomes in the context of acute myocardial infarction (Mookadam & Arthur 2004), amputation (Hawkins et al. 2016), acquired brain injury (Jones et al. 2011), substance dependence treatment (Haslam et al. 2019), HIV/AIDS (van Luenen et al. 2018), stroke (Haslam et al. 2008), and heart disease and cancer (Valtorta et al. 2016).”
Quote in the paperSubstantial claim0 of 3 sources checked- cites Mookadam & Arthur 2004
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- cites Hawkins et al. 2016
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- cites Jones et al. 2011
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FindingcitationIn 420 adolescents, OPRM1 rs1799971 moderated likelihood of developing depression after a severe targeted rejection event; G allele carriers were twice as likely to meet MDD criteria, while A/A homozygotes were unaffected.
“Whereas G allele carriers were twice as likely to meet criteria for major depressive disorder following a recent severe targeted rejection life event (e.g., because they exhibit less opioid receptor expression and signaling efficiency), A/A homozygotes were completely unaffected by such stress.”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Slavich et al. 2014
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FindingcitationSleep disturbance is relatively common, with up to 48% of adults reporting some sleep complaints, and is especially prevalent among persons exposed to social safety stressors such as interpersonal violence and aggression.
“with up to 48% of adults reporting at least some sleep complaints, it is especially prevalent among persons exposed to stressors that threaten social safety, such as interpersonal violence and aggression (Gallegos et al. 2019).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Gallegos et al. 2019
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FindingcitationSocial safety is associated with greater occupational and scholastic achievement, perseverance, productivity, more volunteering, and fewer sick days.
“social safety is associated with greater occupational and scholastic achievement, perseverance, and productivity (Holt-Lunstad 2018, Strayhorn 2018) as well as with more volunteering and fewer sick days (Babey et al. 2019).”
Quote in the paperSubstantial claim0 of 3 sources checked- cites Holt-Lunstad 2018
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- cites Strayhorn 2018
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- cites Babey et al. 2019
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FindingcitationIn 87 adolescents, greater daily social threat interacted with shorter sleep duration to predict reduced expression of 511 genes and increased expression of 1,894 genes, including inflammatory genes, with changes structured by increased NF-κB activity.
“greater daily experiences of social threat (e.g., arguments with parents, family members, teachers, or friends; punishment; being insulted or threatened) interacted with shorter sleep duration to predict reduced expression of 511 genes and increased expression of 1,894 genes including several that promote inflammatory activity, such as TNF, IL1RAP, IL2RB, and IL15RA.”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Chiang et al. 2019
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FindingcitationSocial-environmental effects translate into reduced life expectancy of about 2.1 years by age 40, exceeding mortality risk of high alcohol intake, obesity, and hypertension.
“These social-environmental effects translate into a rather striking reduced life expectancy of around 2.1 years by age 40, thus exceeding the mortality risk associated with high alcohol intake, obesity, and hypertension (Stringhini et al. 2017).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Stringhini et al. 2017
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FindingcitationSocial safety is related to better health behaviors, which predict outcomes including longevity.
“Social safety is also related to practicing better health behaviors, which in turn predicts numerous behavioral and health-related outcomes including longevity (Umberson et al. 2010).”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Umberson et al. 2010
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FindingcitationIn 1,622 young adults in the Philippines, parental absence during childhood was associated with 47% higher CRP in young adulthood for those with low infant animal feces exposure, and 17% lower CRP for those with high feces exposure; social threat predicted greater inflammation only in hygienic microbial environments.
“For individuals exposed to low levels of animal feces during infancy, those who experienced a core threat to social safety in the form of prolonged parental absence during childhood (e.g., resulting from divorce, separation, or death) exhibited 47% higher CRP levels in young adulthood relative to their no-stress counterparts.”
Quote in the paperSubstantial claim0 of 1 sources checked- cites McDade et al. 2013
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FindingcitationSocial threat can increase gut permeability, enabling bacteria to cross the epithelial barrier and activate a mucosal immune response that changes the microbiome, upregulates HPA axis and inflammatory activity, and heightens social threat.
“experiences of social threat can increase gut permeability, which enables bacteria to cross the epithelial barrier and activate a mucosal immune response that changes the microbiome, upregulates HPA axis and inflammatory activity, and heightens experiences of social threat”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Dinan & Cryan 2012
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FindingcitationHigh-fat diets cause microbiome changes that heighten neuroendocrine reactivity and inflammatory activity, inducing anxiety, hypervigilance, and social threat experiences.
“high-fat diets cause compositional changes in the microbiome that heighten neuroendocrine reactivity and inflammatory activity, which in turn induce anxiety, hypervigilance, and experiences of social threat.”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Dinan & Cryan 2012
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FindingcitationApproximately 33% of women report lifetime partner or nonpartner physical violence, or nonpartner sexual violence.
“approximately 33% of women report having experienced lifetime partner or nonpartner physical violence, or nonpartner sexual violence (OECD 2011).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites OECD 2011
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FindingcitationNSSI is more common in people who have experienced major threats to social safety, such as emotional, physical, or sexual abuse, making social threat a key risk factor for NSSI.
“NSSI is more common in people who have experienced major threats to social safety, such as emotional, physical, or sexual abuse, thus making social threat a key risk factor for NSSI (Nock 2009, Stewart et al. 2019).”
Quote in the paperSubstantial claim0 of 2 sources checked- cites Nock 2009
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- cites Stewart et al. 2019
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FindingcitationDiet affects bacterial composition of microbiota, which shapes social safety and threat via the brain-gut-microbiome axis.
“Diet strongly affects the bacterial composition of the microbiota that can in turn shape experiences of social safety and threat by influencing the brain–gut–microbiome axis, which includes the CNS, neuroendocrine and neuroimmune systems, autonomic nervous system, enteric nervous system, and intestinal microbiota (Dinan & Cryan 2012).”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Dinan & Cryan 2012
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FindingcitationIn 40 young adults, urban upbringing was associated with greater TSST-induced IL-6 increases and poorer anti-inflammatory capability compared to rural upbringing.
“it was the participants who grew up in an urban environment who exhibited the greatest TSST-induced increases in IL-6.”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Böbel et al. 2018
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FindingcitationExposure to PM2.5 is especially harmful because particles can be inhaled, enter circulation, reach the brain, influence serotonergic and dopaminergic activity, and affect brain structure, function, and plasticity.
“Exposure to fine PM ≤2.5 μm in aerodynamic diameter (i.e., PM2.5) is especially harmful because these particles can be inhaled, enter the circulation, and reach the brain, where they influence serotonergic and dopaminergic activity and affect brain structure, function, and plasticity.”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Olvera Alvarez et al. 2018
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FindingcitationAcross 35 countries, total fertility rates dropped from 2.7 children/woman in 1970 to 1.7 in 2009, leading to declines in average household size and fewer available familial bonds.
“Across 35 countries, total fertility rates have dropped from an average of 2.7 children/woman in 1970 to 1.7 children/woman in 2009, leading to a corresponding decline in average household size and fewer available familial bonds.”
Quote in the paperSubstantial claim0 of 1 sources checked- cites OECD 2011
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FindingcitationObesity shifts adipose immunologic stance from type 2/T helper 2 to type 1/T helper 1, with proinflammatory M1 macrophages accumulating and secreting IL-1β and TNF-α under psychological stress.
“obesity shifts this immunologic stance toward a type 1 or T helper 1 state in which proinflammatory (i.e., M1-polarized) macrophages accumulate and secrete large amounts of different cytokines, including IL-1β and TNF-α, under conditions of psychological stress (Reilly & Saltiel 2017).”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Reilly & Saltiel 2017
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FindingcitationNSSI has lifetime prevalence up to 23% in adolescents and 4% in adults.
“NSSI has a lifetime prevalence of up to 23% in adolescents and 4% in adults”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Nock 2009
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FindingcitationAcross 62 countries, approximately 70% of children 2-14 have experienced psychological threats to social safety, and approximately 60% have experienced physical threats.
“UNICEF (2014) estimated that across 62 countries, approximately 70% of children 2–14 years old have experienced psychological threats to social safety, such as verbal aggression, intimidation, humiliation, or ridicule.”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites UNICEF 2014
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FindingcitationBirth month independently predicts longevity in several studies, attributed to seasonal differences in healthy food availability during pregnancy and infant exposure to inflammation-promoting pathogens.
“birth month has been found to independently predict longevity in several studies, with such effects being attributed to seasonal differences in the availability of healthy foods during pregnancy (which is generally better during spring and summer months) and to differences in infants’ likelihood of exposure to inflammation-promoting pathogens (which is generally worse in autumn and winter months)”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Doblhammer & Vaupel 2001
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InterpretationreasoningThreats to social safety are a key feature of psychological stressors that most strongly affect health and behavior.
“threats to social safety are a critical feature of psychological stressors that increase risk for disease”
Quote in the paperSubstantial claimMay combine two claims.
InterpretationcitationDAMPs are key promoters of systemic chronic inflammation and may be relevant for how life stress exerts persistent effects on health, behavior, and age-related disease risk.
“DAMPs are now recognized as a key promoter of systemic chronic inflammation, meaning that they may be especially relevant for understanding how life stress exerts persistent effects on human health, behavior, and age-related disease risk (i.e., in the absence of infection) (see Furman et al. 2019)”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Furman et al. 2019
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PremisecitationAntigen-presenting cells differentiate self from nonself, migrate to lymph nodes, present antigen to T helper cells, and cause release of cytokines.
“APCs migrate from the infection site to local lymph nodes where they present antigen peptides to T helper cells, resulting in the release of several cytokines including IL-2, IL-4, IL-5, and interferon gamma (IFN-γ) (Slavich 2020)”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Slavich 2020
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PremisecitationSterile inflammation occurs without infection and helps recovery from tissue damage.
“This type of innate immune response can occur in the absence of a pathogenic infection, which is why some have called it sterile inflammation, and it plays a critical role in helping individuals recover from tissue damage sustained during physical injury or bodily trauma (Crişan et al. 2016)”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Crişan et al. 2016
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PremisecitationThere is little agreement about which social-environmental adversities are most deleterious and no consensus about what makes stressors stressful.
“there is little agreement about the types of social-environmental adversity that are most deleterious and no consensus regarding the social-psychological characteristics that make particular stressors stressful (Cohen et al. 2019, Epel et al. 2018)”
Quote in the paperSubstantial claim0 of 2 sources checked- cites Cohen et al. 2019
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- cites Epel et al. 2018
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PremisecitationThe primary goal of the immune system is to keep the body biologically safe and protected from foreign invaders and physical injuries.
“The primary goal of the immune system, in turn, is to keep the body biologically safe and protected from these foreign invaders and from physical injuries that could cause illness or death if left unaddressed (Slavich & Irwin 2014)”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Slavich & Irwin 2014
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Interpretationnone givenSocial Safety Theory proposes that forming and maintaining friendly social bonds is a fundamental organizing principle of human behavior.
“Social Safety Theory hypothesizes that developing and maintaining friendly social bonds is a fundamental organizing principle of human behavior”
Quote in the paperNot a substantial claimMay combine two claims.
PremisecitationDAMPs activate PRRs, especially TLR2 and TLR4, causing rapid NF-κB-mediated inflammation.
“DAMPs can bind to and activate PRRs, especially TLR2 and TLR4, and in turn initiate a very rapid inflammatory response that is characterized by NF-κB-mediated increases in several inflammatory cytokines, especially IL-1β (Schaefer 2014)”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Schaefer 2014
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PremisecitationThe adaptive immune system is evolutionarily younger and develops over several days via microbial-specific lymphocytes and immunological memory.
“the body engages the evolutionarily younger, 450-million-year-old adaptive immune system (Travis 2009). Compared with the innate immune response, which is nonspecific and occurs quickly, adaptive immunity develops over several days and involves the proliferation of microbial-specific lymphocytes that neutralize or eliminate microbes based on an immunological memory”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Travis 2009
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PremisereasoningThese stress theories are largely based on behavioral and clinical data, with researchers assuming how stressors affect underlying biological processes.
“these theories are largely based on behavioral and clinical data, with researchers in turn assuming how different stressors might affect underlying biological processes”
Quote in the paperSubstantial claimProbably not a substantial claim: may not pass S4 (based).
Premisenone givenExisting alternative stress theories provide very different, largely nonoverlapping explanations for why certain stressors are most impactful.
“these formulations provide very different, largely nonoverlapping explanations for why certain stressors are most impactful”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationIntracellular pathogen detection via TLRs activates antiviral type I interferon genes.
“if the immunologic threat involves an intracellular pathogen (e.g., virus), then TLRs activate the transcription factors NF-κB, ATF2–c-Jun, interferon-regulatory factor 3, and interferon-regulatory factor 7, which induce antiviral immune response genes, particularly type I interferon genes”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Kawai & Akira 2006
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PremisecitationThe innate immune system provides a rapid, highly conserved defense response activated under microbial infection and tissue damage.
“The innate immune system dates back to the origin of multicellularity and provides humans with an extremely rapid, highly conserved immunologic defense response that gets activated under conditions of microbial infection and tissue damage (Travis 2009)”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Travis 2009
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PremisecitationMeningeal lymphatic vessels drain macromolecules and excess fluid from the CNS and provide a path for immune cells to travel from the CNS to the periphery.
“These vessels help drain macromolecules and excess fluid from the central nervous system (CNS). However, they also represent a physical path along which immune cells can travel from the CNS to the periphery”
Quote in the paperSubstantial claimProbably not a substantial claim: may not pass S4 (based).
Premisenone givenMultiple bidirectional pathways-SNS, HPA axis, vagus nerve, and meningeal lymphatic vessels-enable the brain to signal the peripheral immune system and vice versa during social threat.
“Multiple bidirectional pathways enable the brain to signal the peripheral immune system and vice versa during times of social threat. These pathways include the sympathetic nervous system (SNS), hypothalamic–pituitary–adrenal (HPA) axis, vagus nerve, and meningeal lymphatic vessels”
Quote in the paperNot a substantial claimMay combine two claims.
InterpretationcitationAdversity can trigger increased arborization of SNS fibers in the lymph node, expanding the neural-immune regulatory pipeline and potentially promoting neuro-inflammatory sensitization that sustains perceptions of social threat for months or years after a triggering event.
“adversity can trigger increased arborization of SNS fibers in the lymph node, which expands the neural–immune regulatory pipeline and may promote neuro-inflammatory sensitization to adversity that sustains perceptions of social threat for months or years after an initial triggering event has passed (see Slavich & Irwin 2014)”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Slavich & Irwin 2014
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PremisecitationCytokines can affect threat and pain sensitivity, exploratory and pleasure-seeking behavior, ingestive behavior, sleep, learning, attention, memory, impulsivity, temporal focus, emotion regulation, executive function, and cognitive control.
“cytokines can affect threat and pain sensitivity, exploratory and pleasure-seeking behavior, ingestive behavior, sleep, learning, attention, memory, impulsivity, temporal focus, emotion regulation, executive function, and cognitive control (Larson & Dunn 2001, Shields et al. 2017)”
Quote in the paperSubstantial claim0 of 2 sources checked- cites Larson & Dunn 2001
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- cites Shields et al. 2017
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PremisecitationAdversity can lead to epigenetic reprogramming of innate immune cells and alter hematopoietic output from the bone marrow, skewing them toward a more proinflammatory state.
“adversity can lead to epigenetic reprogramming of innate immune cells (Crişan et al. 2016) and alter the hematopoietic output of these cells from the bone marrow (Hanke et al. 2012), skewing them toward a more proinflammatory state”
Quote in the paperSubstantial claim0 of 2 sources checked- cites Crişan et al. 2016
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- cites Hanke et al. 2012
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PremisecitationCortisol can also increase inflammatory activity by priming heightened inflammatory reactivity, stimulating immune cell trafficking, and promoting glucocorticoid insensitivity or resistance.
“cortisol can also lead to increased inflammatory activity by priming heightened inflammatory reactivity, stimulating immune cell trafficking, and promoting glucocorticoid insensitivity/resistance (Sorrells et al. 2009)”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Sorrells et al. 2009
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InterpretationreasoningEach of these experiences threatens social safety differently and can engage social signal transduction pathways, leading to changes in disease risk, cognition, and behavior.
“Each of these experiences threatens social safety in a different way and can therefore engage the social signal transduction pathways described above, leading to substantial changes in disease risk, cognition, and behavior”
Quote in the paperSubstantial claimMay combine two claims.
InterpretationcitationActual physical danger is at the top of the severity gradient, while social conflict, aggression, devaluation, discrimination, isolation, rejection, and exclusion are lower but relevant.
“Atop this list would be actual physical danger, such as being physically attacked, abused, or neglected. However, there are many other social circumstances a bit lower on the severity gradient that are also relevant, including social conflict, aggression, devaluation, discrimination, isolation, rejection, and exclusion (Slavich & Irwin 2014, Slavich et al. 2010a)”
Quote in the paperSubstantial claim0 of 2 sources checked- cites Slavich & Irwin 2014
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- cites Slavich et al. 2010a
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InterpretationcitationMounting an anticipatory inflammatory response to potential physical danger requires continually monitoring whether the body is in a socially safe environment, supported by four neural networks.
“Mounting an anticipatory inflammatory response to potential physical danger requires continually monitoring the extent to which the body is in a socially safe environment, and four neural networks support this capacity: the amygdala network, mentalizing network, empathy network, and mirror neuron system (Kennedy & Adolphs 2012)”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Kennedy & Adolphs 2012
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Interpretationnone givenSocial threat is harmful for human health and behavior.
“Social threat is harmful for human health and behavior”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing), S4 (based).
Premisenone givenCurrent broad support for Social Safety Theory comes from anthropology, psychology, sociology, epidemiology, and public health.
“Current broad support for Social Safety Theory comes from several fields, including anthropology, psychology, sociology, epidemiology, and public health”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S4 (based).
Premisenone givenHumans have long inhabited a world filled with physical and microbial threats that can cause death and reduce reproductive success if not avoided or dealt with effectively.
“humans have long inhabited a world filled with physical and microbial threats—including dangerous conspecifics, viruses, and bacteria—that can cause death and reduce reproductive success if not avoided or dealt with effectively”
Quote in the paperNot a substantial claimMay combine two claims.
PremisereasoningPhysical wounding threatens survival directly through injury-induced bleeding and indirectly by enabling pathogens to enter through wounds created during social conflict.
“Physical wounding threatens survival directly (e.g., through injury-induced bleeding) but also indirectly by enabling pathogens to enter the body through wounds created during social conflict”
Quote in the paperSubstantial claimMay combine two claims.
InterpretationreasoningThe immune system cannot directly detect social circumstances that may increase risk for physical conflict or injury, so it relies on the brain.
“Because the immune system cannot directly detect social circumstances that may increase risk for physical conflict or injury, it relies on the brain”
Quote in the paperSubstantial claimMay combine two claims.
InterpretationreasoningThese activations can occur intermittently or become prolonged, mediated by social safety schemas about the self, social world, and future.
“These activations can occur intermittently—for example, when engaged by occasional negative automatic thoughts about a potential threat in the environment—but they can also become prolonged, mediated by one’s social safety schemas about the self, social world, and future”
Quote in the paperSubstantial claimMay combine two claims.
InterpretationreasoningImmune cells care about physical and social safety, not about a person's financial resources or the size of his or her social network.
“immune cells care about physical and social safety, not about a person’s financial resources or the size of his or her social network”
Quote in the paperNot a substantial claimMay combine two claims.
InterpretationreasoningA fundamental drive to develop friendly social bonds, and to mount a systemic inflammatory response to social cues historically associated with increased physical danger, was likely highly conserved.
“a fundamental drive to develop friendly social bonds, and to mount a systemic inflammatory response to social cues historically associated with increased physical danger, was likely highly conserved”
Quote in the paperSubstantial claimMay combine two claims.
PremisecitationHumans have an affinity for similar others and hostility toward strangers, which historically increased reproductive success and survival.
“humans have a well-known affinity for those most like themselves and a tendency to be hostile toward strangers (Bloom 2013), which historically enhanced their reproductive success and helped ensure their survival (Silk 2007).”
Quote in the paperSubstantial claim0 of 2 sources checked- cites Bloom 2013
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- cites Silk 2007
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InterpretationreasoningRelease of IL-1β, IL-6, and TNF-α heightens threat sensitivity, degrading experiences of social safety and increasing perceptions of social threat.
“The resulting release of IL-1β, IL-6, and TNF-α heightens threat sensitivity that can degrade experiences of social safety and increase perceptions of social threat.”
Quote in the paperSubstantial claimMay combine two claims.
InterpretationcitationThe survival benefit of social integration is similar in magnitude to quitting smoking and exceeds that of obesity and physical inactivity.
“These beneficial effects are similar in magnitude to quitting smoking and exceed those associated with traditional risk factors for mortality, such as obesity and physical inactivity.”
Quote in the paperSubstantial claimMay combine two claims.
PremisecitationEvidence of natural selection for prosociality first emerged about 2.6 million years ago in the Paleolithic period and drove human self-domestication, enabling people to live, hunt, and gather together in small bands.
“Evidence of natural selection for prosociality first emerged about 2.6 million years ago in the Paleolithic period and it drove human self-domestication, enabling people to live, hunt, and gather together in small bands (Henrich 2015)”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Henrich 2015
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InterpretationcitationSocial safety confers numerous benefits, while social threat can degrade mental and physical health, lead to negative behaviors, and increase risk for biological aging and early mortality.
“whereas social safety confers numerous benefits, social threat can degrade mental and physical health, lead to a variety of negative behaviors, and increase risk for biological aging and early mortality”
Quote in the paperSubstantial claimMay combine two claims.
InterpretationcitationRelative to rural upbringing, urban upbringing is associated with greater inflammatory responses to acute social threat and poorer immunoregulatory/anti-inflammatory capability following such threat.
“Together, these data provide strong converging evidence that relative to individuals who are raised in rural environments, those who grow up in urban environments exhibit greater inflammatory responses to acute social threat in addition to poorer immunoregulatory/anti-inflammatory capability following such threat”
Quote in the paperSubstantial claimProbably not a substantial claim: may not pass S4 (based).
Interpretationnone givenHistorically, social threats raised the risk of isolation, conflict, or wounding.
“Physical threats are the most impactful types of stressors from this evolutionary perspective, but such experiences are followed closely by social threats that historically increased risk for possible isolation, conflict, or wounding.”
Quote in the paperNot a substantial claim- Rests on an assumption: Over millennia, the cellular self evolved to monitor its surroundings, detect threats, and produce anticipatory biobehavioral responses that gave the greatest adaptive advantage.
May combine two claims.
InterpretationreasoningNSSI may induce neuroinflammation that exacerbates perceptions of social conflict, criticism, or exclusion, leading to emotional distress and greater propensity for NSSI.
“NSSI may thus represent a behavioral trigger that induces neuroinflammation, which exacerbates a person’s perceptions of social conflict, criticism, or exclusion, in turn leading to heightened emotional distress and an even greater propensity to engage in NSSI”
Quote in the paperSubstantial claimMay combine two claims.
InterpretationcitationBodily injury releases mitochondrial DAMPs, which initiate immune responses and produce inflammatory cytokines that increase neural threat sensitivity and degrade social safety.
“The resulting production of inflammatory cytokines increases neural threat sensitivity that can degrade perceptions of social safety and promote experiences of social threat (Zhang et al. 2010).”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Zhang et al. 2010
Not checked in the free run.
Classified as probably not a substantial claim.
PremisecitationThe construct of life stress has been notoriously messy, with little consensus on what actually matters.
“Life stress has been a notoriously messy construct with little agreement about what actually matters (Cohen et al. 2019, Malat et al. 2017, Monroe & Slavich 2020).”
Quote in the paperSubstantial claim0 of 3 sources checked- cites Cohen et al. 2019
Not checked in the free run.
- cites Malat et al. 2017
Not checked in the free run.
- cites Monroe & Slavich 2020
Not checked in the free run.
May combine two claims.
InterpretationreasoningSocial safety and social threat are central to life's most impactful experiences.
“If we ask the human brain and immune system, though, they will tell us that social safety and social threat lie at the heart of life’s most impactful experiences.”
Quote in the paperNot a substantial claim- Rests on an assumption: Over millennia, the cellular self evolved to monitor its surroundings, detect threats, and produce anticipatory biobehavioral responses that gave the greatest adaptive advantage.
Probably not a substantial claim: may not pass S2 (checkable).
InterpretationreasoningUnderstanding the true underlying structure of life stress requires examining the cellular self.
“To address these problems and begin to understand the true underlying structure of life stress, I propose that we need only look to our cellular selves, which evolved over millennia to monitor the surrounding environment, detect potential threats, and mount anticipatory biobehavioral responses that conferred the greatest adaptive advantage.”
Quote in the paperNot a substantial claim- Rests on an assumption: Over millennia, the cellular self evolved to monitor its surroundings, detect threats, and produce anticipatory biobehavioral responses that gave the greatest adaptive advantage.
The paper relies on this without support.
Sleep plays a central role in regulating biological processes that affect social cognition, health, and behavior.
“Sleep is a critical human behavior that plays a central role not just in everyday life but in regulating biological processes that affect social cognition, health, and behavior.”
The paper relies on this without support.
The benefit-to-cost ratio of the inflammatory response is greatest when it upregulates quickly and downregulates shortly after a threat has passed.
“Like other neural and physiological systems, the benefit-to-cost ratio of the inflammatory response is greatest when it upregulates quickly and then downregulates shortly after a threat has passed.”
The paper relies on this without support.
Objective characteristics of the social environment influence the extent to which people regard their surroundings as socially safe versus threatening.
“Because objective characteristics of the social environment influence the extent to which people generally regard their surroundings as socially safe versus threatening”
The paper relies on this without support.
Humans are embedded in a series of social safety circles that independently and interactively shape experiences of social safety and threat.
“humans are embedded in a series of social safety circles that independently and interactively shape moment-to-moment and lifelong experiences of social safety and threat (see Figure 2).”
The paper relies on this without support.
Over millennia, the cellular self evolved to monitor its surroundings, detect threats, and produce anticipatory biobehavioral responses that gave the greatest adaptive advantage.
“which evolved over millennia to monitor the surrounding environment, detect potential threats, and mount anticipatory biobehavioral responses that conferred the greatest adaptive advantage.”
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Threats to social safety can undermine health.
“The collective evidence linking systemic inflammation to the quality of social relationships and interactions is consistent with theory that threats to social safety (e.g., social conflict, isolation, rejection, exclusion) can undermine health (Slavich, 2020; also see Cole et al., 2015 for a related perspective on perceived social isolation and gene expression).”
From Social media use and systemic inflammation: The moderating role of self-esteem (2021) · cites this paper as Slavich, 2020
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“From this viewpoint, getting fired would be a severe stressor if (for example) a person worked for a company for a long time, had several coworkers as confidants, or had few other financial resources or job prospects (Brown & Harris 1978).”
BackgroundPotent protection against H5N1 and H7N9 influenza via childhood hemagglutinin imprinting
Gostic, K. M., Ambrose, M. R., Worobey, M., & Lloyd‐Smith, J. O. (2016) · Science · doi:10.1126/science.aag1322 · Cited by 464 · cited 1× · see citing works
“In a notable example of this, Gostic et al. (2016) analyzed epidemiologic data from six countries over nearly 100 years and showed that an abrupt worldwide change in human infections of avian influenza A/H5N1 and A/H7N9 around birth year 1968 could be attributed solely to the widespread use of a…”
Background(2006) · Choice Reviews Online · doi:10.5860/choice.43-3703 · Cited by 459 · see citing works
Developmental Adaptation to Stress: An Evolutionary Perspective
Ellis, B. J., & Giudice, M. D. (2018) · Annual Review of Psychology · doi:10.1146/annurev-psych-122216-011732 · Cited by 447 · see citing works
Crum, A. J., Akinola, M., Martin, A., & Fath, S. (2017) · Anxiety, Stress, & Coping · doi:10.1080/10615806.2016.1275585 · Cited by 446 · see citing works
Survival of the Friendliest: <i>Homo sapiens</i> Evolved via Selection for Prosociality
Hare, B. (2017) · Annual Review of Psychology · doi:10.1146/annurev-psych-010416-044201 · Cited by 444 · cited 3× · see citing works
“Ultimately, these abilities led to a strong preference for others who are friendly, emotionally warm, and socially safe (Hare 2017).”
BackgroundInfluentialLifespan depends on month of birth
Doblhammer, G., & Vaupel, J. W. (2001) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.041431898 · Cited by 436 · cited 1× · see citing works
“…differences in the availability of healthy foods during pregnancy (which is generally better during spring and summer months) and to differences in infants’ likelihood of exposure to inflammation-promoting pathogens (which is generally worse in autumn and winter months) (Doblhammer & Vaupel 2001).”
BackgroundThe Stressed CNS: When Glucocorticoids Aggravate Inflammation
Sorrells, S. F., Caso, J. R., Munhoz, C. D., & Sapolsky, R. M. (2009) · Neuron · doi:10.1016/j.neuron.2009.09.032 · Cited by 425 · cited 1× · see citing works
“…activity by priming heightened inflammatory reactivity, stimulating immune cell trafficking, and promoting glucocorticoid insensitivity/resistance (Sorrells et al. 2009). www.annualreviews.org • Social Safety Theory 271 Social signal transduction: process by which neurocognitive representations…”
BackgroundCicchetti, D. (2016) · Annual Review of Psychology · doi:10.1146/annurev-psych-122414-033259 · Cited by 424 · see citing works
Neural sensitivity to social rejection is associated with inflammatory responses to social stress
Slavich, G. M., Way, B. M., Eisenberger, N. I., & Taylor, S. E. (2010) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.1009164107 · Cited by 418 · cited 4× · see citing works
“…impact on stress research, as most articles published over the past century subsequently conceptualized life stress as a single, unitary construct, with little attention paid to how different stressors might have varying consequences for health (Hammen 2005, Monroe 2008, Slavich et al. 2010a).”
BackgroundInfluentialSelf-citationInterpersonal mechanisms linking close relationships to health.
Pietromonaco, P. R., & Collins, N. L. (2017) · American Psychologist · doi:10.1037/amp0000129 · Cited by 390 · cited 1× · see citing works
“The relevance of social safety for human health and behavior is thus difficult to overestimate (KiecoltGlaser & Wilson 2017, Pietromonaco & Collins 2017).”
BackgroundSlavich, G. M., & Sacher, J. (2019) · Psychopharmacology · doi:10.1007/s00213-019-05326-9 · Cited by 383 · cited 1× · see citing works
“…enable what we have previously referred to as social signal transduction—namely, the transmission of signals from the external social environment into the internal biological environment that shapes human health and behavior (Slavich & Cole 2013, Slavich & Irwin 2014, Slavich & Sacher 2019).”
BackgroundSelf-citationCreswell, J. D., Pacilio, L. E., Lindsay, E. K., & Brown, K. W. (2014) · Psychoneuroendocrinology · doi:10.1016/j.psyneuen.2014.02.007 · Cited by 376 · see citing works
Iikuni, N., Lam, Q. K., Lu, L., Matarese, G., & Cava, A. L. (2008) · Current Immunology Reviews · doi:10.2174/157339508784325046 · Cited by 366 · cited 1× · see citing works
“Adipocytes can also produce leptin, which can have proinflammatory effects by upregulating the secretion of TNF-α, IL-6, and IL-12 via IRS-1, PI3K/Akt, STAT-3, and NF-κB signaling (Iikuni et al. 2008).”
BackgroundBlack sheep get the blues: a psychobiological model of social rejection and depression
Slavich, G. M., O’Donovan, A., Epel, E. S., & Kemeny, M. E. (2010) · Neuroscience & Biobehavioral Reviews · doi:10.1016/j.neubiorev.2010.01.003 · Cited by 362 · cited 4× · see citing works
“…impact on stress research, as most articles published over the past century subsequently conceptualized life stress as a single, unitary construct, with little attention paid to how different stressors might have varying consequences for health (Hammen 2005, Monroe 2008, Slavich et al. 2010a).”
BackgroundInfluentialSelf-citationThe amygdala as a hub in brain networks that support social life
Bickart, K. C., Dickerson, B. C., & Feldman Barrett, L. (2014) · Neuropsychologia · doi:10.1016/j.neuropsychologia.2014.08.013 · Cited by 344 · see citing works
The neural pathways, development and functions of empathy
Jean Decety, A. (2014) · Current Opinion in Behavioral Sciences · doi:10.1016/j.cobeha.2014.12.001 · Cited by 323 · see citing works
Social support, social integration, and inflammatory cytokines: a meta-analysis
Uchino, B. N., Trettevik, R., Kent de Grey, R. G., Cronan, S., Hogan, J., & Baucom, B. R. W. (2018) · Health Psychology · doi:10.1037/hea0000594 · Cited by 320 · cited 1× · see citing works
“…subsequent meta-analysis examined data from 41 studies and 73,037 participants and found that being socially well integrated was associated with lower levels of the inflammatory markers TNF-α, IL-6, C-reactive protein (CRP), and fibrinogen (Zr = −0.076; 95% CI [−0.11, −0.04]) (Uchino et al. 2018).”
BackgroundInfluentialJust babies: The origins of good and evil
Vaydich, J. L. (2014) · Journal of Moral Education · doi:10.1080/03057240.2014.923134 · Cited by 312 · see citing works
VOGT, T. M. (1992) · Journal of Clinical Epidemiology · doi:10.1016/0895-4356(92)90138-d · Cited by 308 · cited 1× · see citing works
“Such beneficial effects are evident in a diverse array of clinical contexts as well and are often independent of other risk factors affecting health (Vogt et al. 1992).”
BackgroundLife Stress and Health: A Review of Conceptual Issues and Recent Findings
Slavich, G. M. (2016) · Teaching of Psychology · doi:10.1177/0098628316662768 · Cited by 300 · cited 3× · see citing works
“…effective interventions for producing social safety–related benefits will likely be those that target modifiable social cognitions and behaviors that increase perceptions of social safety and reduce perceptions of social threat (Black & Slavich 2016, O’Donovan et al. 2013, Slavich et al. 2010b).”
BackgroundSelf-citationBehavioral Effects of Cytokines
Larson, S. J., & Dunn, A. J. (2001) · Brain Behavior and Immunity · doi:10.1006/brbi.2001.0643 · Cited by 295 · cited 1× · see citing works
“…for example, cytokines can affect threat and pain sensitivity, exploratory and pleasure-seeking behavior, ingestive behavior, sleep, learning, attention, memory, impulsivity, temporal focus, emotion regulation, executive function, and cognitive control (Larson & Dunn 2001, Shields et al. 2017).”
BackgroundPerturbing the organism: the biology of stressful experience
(1993) · Choice Reviews Online · doi:10.5860/choice.30-2669 · Cited by 285 · see citing works
Socioeconomic status and inflammation: a meta-analysis
Muscatell, K. A., Brosso, S. N., & Humphreys, K. L. (2018) · Molecular Psychiatry · doi:10.1038/s41380-018-0259-2 · Cited by 276 · cited 1× · see citing works
“…severing of relational ties often strongest for social integration and belonging but also extend to other indicators of social safety including socioeconomic status and subjective social status, which are strong predictors of all-cause mortality (see Adler & Rehkopf 2008, Muscatell et al. 2018).”
BackgroundPatton, G. C., Bond, L. M., Carlin, J. B., Thomas, L., Butler, H., Glover, S., Catalano, R. F., & Bowes, G. (2006) · American Journal of Public Health · doi:10.2105/ajph.2004.047399 · Cited by 269 · see citing works
Slavich, G. M., & Shields, G. S. (2018) · Psychosomatic Medicine · doi:10.1097/psy.0000000000000534 · Cited by 268 · see citing works
Self-citationThe Oxford Handbook of Stress and Mental Health
(2018) · Oxford University Press eBooks · doi:10.1093/oxfordhb/9780190681777.001.0001 · Cited by 263 · see citing works
Forgiveness Therapy for the Promotion of Mental Well-Being: A Systematic Review and Meta-Analysis
Akhtar, S., & Barlow, J. (2018) · Trauma, Violence, & Abuse · doi:10.1177/1524838016637079 · Cited by 257 · see citing works
Computational identification of gene–social environment interaction at the human <i>IL6</i> locus
Cole, S. W., Arevalo, J. M. G., Takahashi, R., Sloan, E. K., Lutgendorf, S. K., Sood, A. K., Sheridan, J. F., & Seeman, T. E. (2010) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.0911515107 · Cited by 256 · cited 1× · see citing works
“278 Slavich In another study, Cole et al. (2010) examined a functionally active regulatory SNP in the human IL6 promoter (-174G>C, rs1800795) that is known to affect inflammatory dynamics.”
BackgroundThe evolutionary significance of depression in Pathogen Host Defense (PATHOS-D)
Raison, C. L., & Miller, A. H. (2013) · Molecular Psychiatry · doi:10.1038/mp.2012.2 · Cited by 253 · see citing works
Shields, G. S., Spahr, C. M., & Slavich, G. M. (2020) · JAMA psychiatry · doi:10.1001/jamapsychiatry.2020.0431 · Cited by 252 · see citing works
Self-citationEvolution, human-microbe interactions, and life history plasticity
Rook, G., Bäckhed, F., Levin, B. R., McFall-Ngai, M. J., & McLean, A. R. (2017) · The Lancet · doi:10.1016/s0140-6736(17)30566-4 · Cited by 246 · cited 1× · see citing works
“This process refines the functional capacity and regulation of each individual’s immune system and provides humans with a highly evolved biological defense network that is critical for survival (Rook et al. 2017).”
BackgroundKross, E., & Ayduk, O. (2017) · Advances in Experimental Social Psychology · doi:10.1016/bs.aesp.2016.10.002 · Cited by 245 · see citing works
Mookadam, F., & Arthur, H. M. (2004) · Archives of Internal Medicine · doi:10.1001/archinte.164.14.1514 · Cited by 243 · cited 1× · see citing works
“For example, individuals with greater social safety exhibit better outcomes in the context of acute myocardial infarction (Mookadam & Arthur 2004), amputation (Hawkins et al. 2016), acquired brain injury ( Jones et al. 2011), substance dependence treatment (Haslam et al. 2019),HIV/AIDS (van Luenen…”
BackgroundGehlbach, H., Brinkworth, M. E., King, A. M., Hsu, L. M., McIntyre, J., & Rogers, T. (2016) · Journal of Educational Psychology · doi:10.1037/edu0000042 · Cited by 237 · see citing works
Biased: Uncovering the Hidden Prejudice That Shapes What We See, Think, and Do
Eberhardt, J. L. (2019) · Journal of Bioresource Management · Cited by 235 · see citing works
Shields, G. S., & Slavich, G. M. (2017) · Social and Personality Psychology Compass · doi:10.1111/spc3.12335 · Cited by 224 · cited 1× · see citing works
“Emerging from this large body of research is substantial evidence that exposure to life stress and adversity can negatively affect human functioning, disease risk, and longevity (Lupien et al. 2009, Shields & Slavich 2017).”
BackgroundSelf-citationEarly environments and the ecology of inflammation
McDade, T. W. (2012) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.1202244109 · Cited by 218 · see citing works
Fostering School Belonging in Secondary Schools Using a Socio-Ecological Framework
Allen, K.-A., Vella-Brodrick, D., & Waters, L. (2016) · Educational and Developmental Psychologist · doi:10.1017/edp.2016.5 · Cited by 212 · see citing works
Neural aspects of immunomodulation: Focus on the vagus nerve
Thayer, J. F., & Sternberg, E. M. (2010) · Brain Behavior and Immunity · doi:10.1016/j.bbi.2010.07.247 · Cited by 200 · cited 1× · see citing works
“It outputs to several organs including the heart, liver, gastrointestinal tract, intestine, and (possibly) the spleen, where it downregulates the production of the inflammatory cytokines IL-1β, IL-18, and TNF-α via alpha7 nicotinic receptors that inhibit NF-κB activity (Thayer & Sternberg 2010).”
BackgroundA family-oriented psychosocial intervention reduces inflammation in low-SES African American youth
Miller, G. E., Brody, G. H., Yu, T., & Chen, E. (2014) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.1406578111 · Cited by 180 · see citing works
Social influences on clinical outcomes of patients with ovarian cancer
Lutgendorf, S. K., De Geest, K., Bender, D., Ahmed, A., Goodheart, M. J., Dahmoush, L., Zimmerman, M. B., Penedo, F. J., Lucci, J. A., Ganjei-Azar, P., et al. (2012) · Journal of Clinical Oncology · doi:10.1200/jco.2011.39.4411 · Cited by 177 · cited 1× · see citing works
“In one study of 168 women with histologically confirmed epithelial ovarian cancer, for example, having a socially safe relationship characterized by a stable sense of emotional security was associated with a 34% lower hazard of death during the 7-year study period (Lutgendorf et al. 2012).”
BackgroundSelf-citationThe role of inflammation in suicidal behaviour
Brundin, L., Erhardt, S., Bryleva, E. Y., Achtyes, E. D., & Postolache, T. T. (2015) · Acta Psychiatrica Scandinavica · doi:10.1111/acps.12458 · Cited by 174 · cited 8× · see citing works
“NSSI may thus represent a behavioral trigger that induces neuroinflammation, which exacerbates a person’s perceptions of social conflict, criticism, or exclusion, in turn leading to heightened emotional distress and an even greater propensity to engage in NSSI (e.g., NSSI → inflammation → social threat → NSSI).”
BackgroundInfluentialTargeted Rejection Predicts Hastened Onset of Major Depression
Slavich, G. M., Thornton, T., Torres, L. D., Monroe, S. M., & Gotlib, I. H. (2009) · Journal of Social and Clinical Psychology · doi:10.1521/jscp.2009.28.2.223 · Cited by 154 · cited 1× · see citing works
“Consistent with Social Safety Theory, these so-called targeted rejection stressors hasten onset of depression (Slavich et al. 2009), promote suicidal ideation (Massing-Schaffer et al. 2019), upregulate molecular signaling pathways that increase inflammatory activity (Murphy et al. 2013), and…”
BackgroundSelf-citationO’Donovan, A., Slavich, G. M., Epel, E. S., & Neylan, T. C. (2012) · Neuroscience & Biobehavioral Reviews · doi:10.1016/j.neubiorev.2012.10.013 · Cited by 148 · see citing works
Self-citationLife stress and suicide in adolescents
Stewart, J. G., Shields, G. S., Esposito, E. C., Cosby, E. A., Allen, N. B., Slavich, G. M., & Auerbach, R. P. (2019) · Journal of Abnormal Child Psychology · doi:10.1007/s10802-019-00534-5 · Cited by 144 · cited 1× · see citing works
“It is well known that NSSI is more common in people who have experienced major threats to social safety, such as emotional, physical, or sexual abuse, thus making social threat a key risk factor for NSSI (Nock 2009, Stewart et al. 2019).”
BackgroundSelf-citationBeta adrenergic blockade decreases the immunomodulatory effects of social disruption stress
Hanke, M. L., Powell, N. D., Stiner, L. M., Bailey, M. T., & Sheridan, J. F. (2012) · Brain, Behavior, and Immunity · doi:10.1016/j.bbi.2012.07.011 · Cited by 143 · cited 1× · see citing works
“Second, adversity can lead to epigenetic reprogramming of innate immune cells (Crişan et al. 2016) and alter the hematopoietic output of these cells from the bone marrow (Hanke et al. 2012), skewing them toward amore proinflammatory state.”
BackgroundKemeny, M. E. (2009) · Brain, Behavior, and Immunity · doi:10.1016/j.bbi.2008.08.008 · Cited by 138 · cited 1× · see citing works
“Several reviews have also explained how threats to social standing can affect health (Dickerson 2008, Kemeny 2009) and why social rejection and exclusion may be particularly potent in this regard (Allen & Badcock 2003, Williams 2007).”
BackgroundOlvera Alvarez, H. A., Kubzansky, L. D., Campen, M. J., & Slavich, G. M. (2018) · Neuroscience & Biobehavioral Reviews · doi:10.1016/j.neubiorev.2018.06.002 · Cited by 133 · see citing works
Self-citationvan Luenen, S., Garnefski, N., Spinhoven, P., Spaan, P., Dusseldorp, E., & Kraaij, V. (2017) · AIDS and Behavior · doi:10.1007/s10461-017-1757-y · Cited by 132 · cited 1× · see citing works
“…myocardial infarction (Mookadam & Arthur 2004), amputation (Hawkins et al. 2016), acquired brain injury ( Jones et al. 2011), substance dependence treatment (Haslam et al. 2019),HIV/AIDS (van Luenen et al. 2018), stroke (Haslam et al. 2008), and heart disease and cancer (Valtorta et al. 2016).”
BackgroundExperienced discrimination and racial differences in leukocyte gene expression
Thames, A. D., Irwin, M. R., Breen, E. C., & Cole, S. W. (2019) · Psychoneuroendocrinology · doi:10.1016/j.psyneuen.2019.04.016 · Cited by 128 · cited 1× · see citing works
“…of the leukocyte basal transcriptome that is structured by the social signal transduction pathways described previously (i.e., NF-кB, AP-1, CREB, and the glucocorticoid receptor) (Thames et al. 2019), and accelerates biological aging as indexed by telomere length (Guarneri-White et al. 2018).”
BackgroundJones, J. M., Haslam, S. A., Jetten, J., Williams, W. H., Morris, R. P. G., & Saroyan, S. (2010) · Psychology and Health · doi:10.1080/08870440903440699 · Cited by 122 · see citing works
Acceptance and Commitment Therapy
Flaxman, P. E., Blackledge, J. T., & Bond, F. W. (2010) · doi:10.4324/9780203834688 · Cited by 122 · see citing works
Slavich, G. M. (2014) · Brain, behavior, and immunity · doi:10.1016/j.bbi.2014.10.012 · Cited by 119 · cited 1× · see citing works
“…interactions that promote physiologic recursion and cause persistently heightened sensitivity to social adversity Adaptive Versus Maladaptive Responsivity The question of whether these responses are helpful versus harmful ultimately comes down to the issue of timing and regulation (Slavich 2015).”
BackgroundSelf-citationMeyer, H. C., Odriozola, P., Cohodes, E. M., Mandell, J. D., Li, A., Yang, R., Hall, B. S., Haberman, J. T., Zacharek, S. J., Liston, C. M., et al. (2019) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.1910481116 · Cited by 118 · see citing works
Inflammation, Self-Regulation, and Health: An Immunologic Model of Self-Regulatory Failure
Shields, G. S., Moons, W. G., & Slavich, G. M. (2017) · Perspectives on Psychological Science · doi:10.1177/1745691616689091 · Cited by 113 · cited 1× · see citing works
“…for example, cytokines can affect threat and pain sensitivity, exploratory and pleasure-seeking behavior, ingestive behavior, sleep, learning, attention, memory, impulsivity, temporal focus, emotion regulation, executive function, and cognitive control (Larson & Dunn 2001, Shields et al. 2017).”
BackgroundSelf-citationInnate immune memory: Implications for host responses to damage‐associated molecular patterns
Crișan, T. O., Netea, M. G., & Joosten, L. A. B. (2016) · European Journal of Immunology · doi:10.1002/eji.201545497 · Cited by 112 · cited 2× · see citing works
“Second, adversity can lead to epigenetic reprogramming of innate immune cells (Crişan et al. 2016) and alter the hematopoietic output of these cells from the bone marrow (Hanke et al. 2012), skewing them toward amore proinflammatory state.”
BackgroundCognitive Behavioral Therapy for Social Anxiety Disorder
Hofmann, S. G., & Otto, M. W. (2017) · Routledge eBooks · doi:10.4324/9781315617039 · Cited by 111 · see citing works
King, C. A., Arango, A., Kramer, A., Busby, D. R., Czyz, E. K., Foster, C. E., Gillespie, B. W., & for the YST Study Team (2019) · JAMA Psychiatry · doi:10.1001/jamapsychiatry.2018.4358 · Cited by 96 · see citing works
Murphy, M. L. M., Slavich, G. M., Rohleder, N., & Miller, G. E. (2013) · Clinical Psychological Science · doi:10.1177/2167702612455743 · Cited by 92 · cited 1× · see citing works
“…of depression (Slavich et al. 2009), promote suicidal ideation (Massing-Schaffer et al. 2019), upregulate molecular signaling pathways that increase inflammatory activity (Murphy et al. 2013), and downregulate molecular signaling pathways that reduce inflammatory activity (Murphy et al. 2015).”
BackgroundSelf-citationSlavich, G. M. (2018) · Brain Behavior and Immunity · doi:10.1016/j.bbi.2018.08.011 · Cited by 92 · cited 1× · see citing works
“…are most deleterious and no consensus regarding the socialpsychological characteristics that make particular stressors stressful (Cohen et al. 2019, Epel et al. nology (Slavich 2019), some theorists have gone so far as to argue that the term stress should be abandoned altogether (see Kagan 2016).”
BackgroundSelf-citationGiletta, M., Slavich, G. M., Rudolph, K. D., Hastings, P. D., Nock, M. K., & Prinstein, M. J. (2018) · Journal of Child Psychology and Psychiatry · doi:10.1111/jcpp.12804 · Cited by 87 · cited 1× · see citing works
“…social threat characterized by verbal attacks, social exclusion, devaluation, and aggression heightens inflammatory reactivity to social stress (Giletta et al. 2018), promotes an increased proinflammatory/reduced antiviral skewing of the leukocyte basal transcriptome that is structured by the…”
BackgroundSelf-citationAn Overly Permissive Extension
Kagan, J. (2016) · Perspectives on Psychological Science · doi:10.1177/1745691616635593 · Cited by 86 · see citing works
Fostering Social Connection in the Workplace
Holt‐Lunstad, J. (2018) · American Journal of Health Promotion · doi:10.1177/0890117118776735a · Cited by 85 · see citing works
McDade, T. W., Hoke, M., Borja, J. B., Adair, L. S., & Kuzawa, C. (2013) · Brain, Behavior, and Immunity · doi:10.1016/j.bbi.2012.08.010 · Cited by 83 · cited 1× · see citing works
“Experiencing social threat in childhood therefore predicted greater inflammation in adulthood, but only for individuals born into a relatively hygienic microbial environment (McDade et al. 2013).”
BackgroundSlavich, G. M., Tartter, M. A., Brennan, P. A., & Hammen, C. (2014) · Psychoneuroendocrinology · doi:10.1016/j.psyneuen.2014.07.009 · Cited by 83 · cited 1× · see citing works
“…life event was moderated by a functional single nucleotide polymorphism (SNP) in the μ-opioid receptor gene (OPRM1, rs1799971) that causes an amino acid change (N40D) that governs central OPRM1 expression, leading to differences in social and physical pain sensitivity (Slavich et al. 2014).”
BackgroundSelf-citationEmotional and Physiological Responses to Social-Evaluative Threat
Dickerson, S. S. (2008) · Social and Personality Psychology Compass · doi:10.1111/j.1751-9004.2008.00095.x · Cited by 82 · cited 1× · see citing works
“Several reviews have also explained how threats to social standing can affect health (Dickerson 2008, Kemeny 2009) and why social rejection and exclusion may be particularly potent in this regard (Allen & Badcock 2003, Williams 2007).”
BackgroundBöbel, T. S., Hackl, S. B., Langgartner, D., Jarczok, M. N., Rohleder, N., Rook, G. A. W., Lowry, C. A., Gündel, H., Waller, C., & Reber, S. O. (2018) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.1719866115 · Cited by 82 · cited 1× · see citing works
“…secreted more IL-6 in response to an inflammatory challenge (i.e., concanavalin A) in vitro, and PBMC secretion of the anti-inflammatory cytokine IL-10 was suppressed by two different inflammatory challenges (i.e., LPS and concanavalin A), but only for urban participants (Böbel et al. 2018).”
BackgroundBorman, G. D., Rozek, C. S., Pyne, J., & Hanselman, P. (2019) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.1820317116 · Cited by 68 · see citing works
Sleep and Interpersonal Violence: A Systematic Review
Gallegos, A. M., Trabold, N., Cerulli, C., & Pigeon, W. (2019) · Trauma, Violence, & Abuse · doi:10.1177/1524838019852633 · Cited by 65 · cited 1× · see citing works
“Although sleep disturbance is relatively common in general, with up to 48% of adults reporting at least some sleep complaints, it is especially prevalent among persons exposed to stressors that threaten social safety, such as interpersonal violence and aggression (Gallegos et al. 2019).”
BackgroundStress and its sequelae: Depression, suicide, inflammation, and physical illness.
Slavich, G. M., & Auerbach, R. P. (2018) · American Psychological Association eBooks · doi:10.1037/0000064-016 · Cited by 62 · see citing works
Self-citationOn the Origin of The Immune System
Travis, J. P. (2009) · Science · doi:10.1126/science.324_580 · Cited by 59 · cited 2× · see citing works
“When these innate immune system defenses are insufficient for addressing a particular threat, the body engages the evolutionarily younger, 450-million-year-old adaptive immune system (Travis 2009).”
BackgroundGoyer, J. P., Cohen, G. L., Cook, J. E., Master, A., Apfel, N. H., Lee, W., Henderson, A. G., Reeves, S. L., Okonofua, J. A., & Walton, G. M. (2019) · Journal of Personality and Social Psychology · doi:10.1037/pspa0000152 · Cited by 58 · see citing works
Massing-Schaffer, M., Helms, S. W., Rudolph, K. D., Slavich, G. M., Hastings, P. D., Giletta, M., Nock, M. K., & Prinstein, M. J. (2019) · Journal of Clinical Child & Adolescent Psychology · doi:10.1080/15374416.2018.1469093 · Cited by 51 · cited 1× · see citing works
“…with Social Safety Theory, these so-called targeted rejection stressors hasten onset of depression (Slavich et al. 2009), promote suicidal ideation (Massing-Schaffer et al. 2019), upregulate molecular signaling pathways that increase inflammatory activity (Murphy et al. 2013), and downregulate…”
BackgroundSelf-citationForgiveness and Reconciliation
Worthington, J. (2013) · Routledge eBooks · doi:10.4324/9780203942734 · Cited by 46 · see citing works
Chiang, J. J., Bower, J. E., Irwin, M. R., Taylor, S. E., & Fuligni, A. J. (2017) · Brain Behavior and Immunity · doi:10.1016/j.bbi.2017.06.015 · Cited by 45 · see citing works
Daily Interpersonal Stress, Sleep Duration, and Gene Regulation during Late Adolescence
Chiang, J. J., Cole, S. W., Bower, J. E., Irwin, M. R., Taylor, S. E., Arevalo, J., & Fuligni, A. J. (2019) · Psychoneuroendocrinology · doi:10.1016/j.psyneuen.2018.11.026 · Cited by 44 · cited 1× · see citing works
“Promoter-based bioinformatics analyses in turn indicated that these gene expression changes were structured by increased NF-κB activity (Chiang et al. 2019).”
BackgroundMurphy, M. L. M., Slavich, G. M., Chen, E., & Miller, G. E. (2015) · Psychological Science · doi:10.1177/0956797614556320 · Cited by 43 · cited 1× · see citing works
“…of depression (Slavich et al. 2009), promote suicidal ideation (Massing-Schaffer et al. 2019), upregulate molecular signaling pathways that increase inflammatory activity (Murphy et al. 2013), and downregulate molecular signaling pathways that reduce inflammatory activity (Murphy et al. 2015).”
BackgroundThe effect of social integration on outcomes after major lower extremity amputation
Hawkins, A. T., Pallangyo, A. J., Herman, A. M., Schaumeier, M. J., Smith, A. D., Hevelone, N. D., Crandell, D. M., & Nguyen, L. L. (2015) · Journal of Vascular Surgery · doi:10.1016/j.jvs.2015.07.100 · Cited by 37 · cited 1× · see citing works
“…individuals with greater social safety exhibit better outcomes in the context of acute myocardial infarction (Mookadam & Arthur 2004), amputation (Hawkins et al. 2016), acquired brain injury ( Jones et al. 2011), substance dependence treatment (Haslam et al. 2019),HIV/AIDS (van Luenen et al.…”
BackgroundReid, B. M., Doom, J. R., Argote, R. B., Correa‐Burrows, P., Lozoff, B., Blanco, E., & Gahagan, S. (2019) · Brain Behavior and Immunity · doi:10.1016/j.bbi.2019.06.003 · Cited by 34 · cited 1× · see citing works
“Moreover, these effects were specific to early-life stressors involving interpersonal conflict and did not extend to non-social-safety-related forms of stress (Reid et al. 2019).”
BackgroundHaslam, C., Best, D. W., Dingle, G. A., Staiger, P. K., Savic, M., Bathish, R., Mackenzie, J., Beckwith, M., Kelly, A. J., & Lubman, D. I. (2019) · Addiction Research & Theory · doi:10.1080/16066359.2018.1537393 · Cited by 29 · cited 1× · see citing works
“…myocardial infarction (Mookadam & Arthur 2004), amputation (Hawkins et al. 2016), acquired brain injury ( Jones et al. 2011), substance dependence treatment (Haslam et al. 2019),HIV/AIDS (van Luenen et al. 2018), stroke (Haslam et al. 2008), and heart disease and cancer (Valtorta et al. 2016).”
BackgroundSlavich, G. M., Shields, G. S., Deal, B., Gregory, A. A., & Toussaint, L. L. (2019) · Annals of Behavioral Medicine · doi:10.1093/abm/kaz015 · Cited by 26 · see citing works
Self-citationMalat, J., Jacquez, F., & Slavich, G. M. (2017) · Stress · doi:10.1080/10253890.2017.1341871 · Cited by 23 · cited 1× · see citing works
“Life stress has been a notoriously messy construct with little agreement about what actually matters (Cohen et al. 2019, Malat et al. 2017, Monroe & Slavich 2020).”
BackgroundSelf-citationWilliams, K. D., & Nida, S. A. (2014) · Policy Insights from the Behavioral and Brain Sciences · doi:10.1177/2372732214549753 · Cited by 20 · see citing works
Guarneri-White, M. E., Araña, A. A., Boyd, E. Q., & Jensen‐Campbell, L. A. (2018) · Aggressive Behavior · doi:10.1002/ab.21755 · Cited by 12 · cited 1× · see citing works
“…of the leukocyte basal transcriptome that is structured by the social signal transduction pathways described previously (i.e., NF-кB, AP-1, CREB, and the glucocorticoid receptor) (Thames et al. 2019), and accelerates biological aging as indexed by telomere length (Guarneri-White et al. 2018).”
BackgroundYazawa, A., Inoue, Y., Stickley, A., Li, D., Du, J., & Watanabe, C. (2015) · PLoS ONE · doi:10.1371/journal.pone.0139602 · Cited by 3 · see citing works
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Cited by
Sorted by citations
Allen, K., Kern, M. L., Rozek, C. S., McInerney, D. M., & Slavich, G. M. (2021) · Australian Journal of Psychology · doi:10.1080/00049530.2021.1883409 · Cited by 1,052 · see citing works
“In conclusion, a sense of belonging is a core part of what makes us human (Baumeister & Leary, 1995; Deci & Ryan, 2000; Slavich, 2020; Vaillant, 2012).”
BackgroundInfluentialSelf-citationGruber, J., Prinstein, M. J., Clark, L. A., Rottenberg, J., Abramowitz, J. S., Albano, A. M., Aldao, A., Borelli, J. L., Chung, T., Davila, J., et al. (2021) · American Psychologist · doi:10.1037/amp0000707 · Cited by 697 · see citing works
“This possibility is also supported by contemporary models that articulate how stress affects psychological and biological systems associated with anxiety and depression (e.g., Slavich, 2020).”
BackgroundSelf-citationTen Surprising Facts About Stressful Life Events and Disease Risk
Cohen, S., Murphy, M. L. M., & Prather, A. A. (2019) · Annual Review of Psychology · doi:10.1146/annurev-psych-010418-102857 · Cited by 531 · see citing works
Crum, A. J., Akinola, M., Martin, A., & Fath, S. (2017) · Anxiety, Stress, & Coping · doi:10.1080/10615806.2016.1275585 · Cited by 446 · see citing works
Diamond, L. M., & Alley, J. (2022) · Neuroscience & Biobehavioral Reviews · doi:10.1016/j.neubiorev.2022.104720 · Cited by 412 · see citing works
Polyvagal Theory: A Science of Safety
Porges, S. W. (2022) · Frontiers in Integrative Neuroscience · doi:10.3389/fnint.2022.871227 · Cited by 399 · see citing works
“Others have proposed relationships between safety and stress (Bond et al., 2010; Dollard and McTernan, 2011; Brosschot et al., 2017; Slavich, 2020) that focus on constructs previously explored by the Polyvagal Theory (Porges, 2007).”
BackgroundCompassion: From Its Evolution to a Psychotherapy
Gilbert, P. (2020) · Frontiers in Psychology · doi:10.3389/fpsyg.2020.586161 · Cited by 365 · see citing works
“Recently, Slavich (2020) wrote extensively on what he called social safety theory linking a whole range of physiological systems and their interactions including: the immune system, hypothalamic Frontiers in Psychology | www.frontiersin.org 12 December 2020 | Volume 11 | Article 586161 pituitary…”
BackgroundBürgin, D., Anagnostopoulos, D. C., the Board and Policy Division of ESCAP, Anagnostopoulos, D. C., Doyle, M., D, S. E. M., Fegert, J. M., Fuentes, J., Hebebrand, J., Hillegers, M. H. J., et al. (2022) · European Child & Adolescent Psychiatry · doi:10.1007/s00787-022-01974-z · Cited by 367 · see citing works
“Within social safety theory, cognitive schemas of social safety are thought to develop during childhood and adolescence in relation to a child’s appraisal of themself, the social world, and the projected future [39].”
BackgroundInfluentialBickman, L. (2020) · Administration and Policy in Mental Health and Mental Health Services Research · doi:10.1007/s10488-020-01065-8 · Cited by 184 · see citing works
“A key aspect of this perspective is the role of inflammatory cytokines as key mediators of the inflammatory response (Slavich 2020).”
BackgroundQu, D., Wen, X., Liu, B.-W., Zhang, X., He, Y., Chen, D., Duan, X.-E., Yu, J.-A., Liu, D., Zhang, X.-Q., et al. (2023) · The Lancet Regional Health - Western Pacific · doi:10.1016/j.lanwpc.2023.100794 · Cited by 201 · see citing works
Are social isolation and loneliness associated with cognitive decline in ageing?
Cardona, M., & Andrés, P. (2023) · Frontiers in Aging Neuroscience · doi:10.3389/fnagi.2023.1075563 · Cited by 176 · see citing works
“…as an evolutionarily conserved mechanism to terminate separation distress (Watt and Panksepp, 2009; Panksepp and Watt, 2011; Watt, 2014; also see Slavich, 2020; social safety theory), placing social loss at the center of the neurobiological dynamics (e.g., inflammation, altered HPA axis…”
BackgroundStress-induced biological aging: A review and guide for research priorities
Polsky, L. R., Rentscher, K. E., & Carroll, J. (2022) · Brain Behavior and Immunity · doi:10.1016/j.bbi.2022.05.016 · Cited by 181 · see citing works
“(Dantzer et al., 2008; Irwin and Cole, 2011; Miller, 2008; Slavich, 2020; Sloan et al., 2008) Specifically, the SNS regulates the inflammatory response via the production and transportation of NE. (McEwen, 2007) In response to stress, NE interacts with beta-adrenergic receptors on the surface of…”
BackgroundSocial Safety Theory: Conceptual foundation, underlying mechanisms, and future directions
Slavich, G. M., Roos, L. G., Mengelkoch, S., Webb, C. A., Shattuck, E. C., Moriarity, D. P., & Alley, J. C. (2023) · Health Psychology Review · doi:10.1080/17437199.2023.2171900 · Cited by 173 · see citing works
“…but hygienic urban environments minimize the frequency and diversity of microbial exposures and thus provide fewer opportunities for the immune system to practice upregulating inflammatory activity when it is needed and downregulating inflammation when it is no longer required (Slavich, 2020a).”
BackgroundInfluentialSelf-citationSex differences and psychological stress: responses to the COVID-19 pandemic in China
宋康兴, Xu, R., Stratton, T. D., Kavcic, V., Luo, D., Hou, F., Bi, F., Jiao, R., Yan, S., & Jiang, Y. (2021) · BMC Public Health · doi:10.1186/s12889-020-10085-w · Cited by 168 · see citing works
Experienced discrimination and racial differences in leukocyte gene expression
Thames, A. D., Irwin, M. R., Breen, E. C., & Cole, S. W. (2019) · Psychoneuroendocrinology · doi:10.1016/j.psyneuen.2019.04.016 · Cited by 128 · see citing works
Morais, A. H. D. A., Aquino, J. D. S., da Silva-Maia, J. K., Vale, S. H. D. L., Maciel, B. L. L., & Passos, T. S. (2020) · British Journal Of Nutrition · doi:10.1017/s0007114520003311 · Cited by 123 · see citing works
“According to Slavich (15) , social ties ’ maintenance is a fundamental organiser principle of human behaviour, and threats to social security are critical characteristics of psychological stressors that raise the risk of diseases; hence, lifestyle interventions that mitigate the inflammation and support the immune sys…”
Are friends electric? The benefits and risks of human-robot relationships
Prescott, T. J., & Robillard, J. M. (2020) · iScience · doi:10.1016/j.isci.2020.101993 · Cited by 111 · see citing works
“Our social drive, by contrast, is not about correcting an immediate homeostatic imbalance that, without action, would become a threat to life, although it has evolved to be closely tied to these core life processes (Slavich, 2020).”
BackgroundSeiler, A., von Känel, R., & Slavich, G. M. (2020) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2020.565239 · Cited by 110 · see citing works
“Third, studies investigating the biological bases of stress resilience will be important for elucidating processes that may help promote psychosocial resilience to interpersonal loss (203).”
BackgroundSelf-citationThe geroscience agenda: Toxic stress, hormetic stress, and the rate of aging
Epel, E. (2020) · Ageing Research Reviews · doi:10.1016/j.arr.2020.101167 · Cited by 92 · see citing works
“…threats (such as social rejection, discrimination, violence, and lack of safety) creates higher chronic systemic inflammation and sympathetic arousal, even while sleeping, and greater risk of affective disorders (Brosschot et al., 2017; O’Donovan et al., 2013; Slavich, 2020; Slavich et al., 2010).”
McLoughlin, E., Fletcher, D., Slavich, G. M., Arnold, R., & Moore, L. J. (2020) · Psychology of sport and exercise · doi:10.1016/j.psychsport.2020.101823 · Cited by 110 · see citing works
“A growing body of work suggests that major life stressors that include interpersonal loss and humiliation are particularly harmful for health (e.g., Kendler, Hettema, Butera, Gardner, & Prescott, 2003; Slavich, 2020).”
BackgroundSelf-citationGruber, J., Prinstein, M. J., Abramowitz, J. S., Albano, A. M., Aldao, A., Borelli, J. L., Clark, L. A., Davila, J., Forbes, E. E., Gee, D. G., et al. (2020) · doi:10.31234/osf.io/desg9 · Cited by 100 · see citing works
Self-citationVignesh, V., Dominguez, B. C., James, T. D., Turner‐Cobb, J. M., Lightman, S. L., & Reis, N. M. (2024) · ACS Sensors · doi:10.1021/acssensors.3c01912 · Cited by 102 · see citing works
“C ortisol is the primary glucocorticoid hormone released by the body in response to stress, 1,2 with chronic cortisol levels leading to various pathophysiologies.”
BackgroundSlavich, G. M. (2022) · Current Opinion in Psychology · doi:10.1016/j.copsyc.2022.101299 · Cited by 88 · see citing works
“Republished from Slavich (2020) [8], with permission from Annual Reviews. monitors the internal biological environment and responds quickly when microbial infection or tissue damage are detected [9].”
Self-citationAshton-James, C. E., Anderson, S. R., Mackey, S., & Darnall, B. D. (2021) · Pain · doi:10.1097/j.pain.0000000000002404 · Cited by 80 · see citing works
Slavich, G. M., Roos, L. G., & Zaki, J. (2021) · Anxiety Stress & Coping · doi:10.1080/10615806.2021.1950695 · Cited by 82 · see citing works
“…depression, cardiovascular disease, and autoimmune and neurodegenerative disorders, and toward a more anti-viral state, which decreases individuals’ susceptibility to viruses such as the common cold and, possibly, COVID-19 (Cohen, 2021; Furman et al., 2019; Shields et al., 2020; Slavich, 2020).”
BackgroundSelf-citationGilbert, P. (2021) · Frontiers in Psychology · doi:10.3389/fpsyg.2020.582090 · Cited by 77 · see citing works
“In other words, social experiences shape phenotypes via epigenetic effects which in turn impacts the maturation of numerous physiological systems (Cowan et al., 2016; Slavich, 2020).”
BackgroundInfluentialPalamarchuk, I. S., & Vaillancourt, T. (2021) · Frontiers in Behavioral Neuroscience · doi:10.3389/fnbeh.2021.719674 · Cited by 95 · see citing works
“…cognition and increase the risk of mental and social dysfunction, as well as neural and systemic inflammation (e.g., Shin and Handwerger, 2009; Hassija et al., 2012; Latack et al., 2017; Auxéméry, 2018; Mills et al., 2019; Quinones et al., 2020; Slavich, 2020; Vaillancourt and Palamarchuk, 2021).”
BackgroundDiamond, L. M., Dehlin, A. J., & Alley, J. C. (2021) · Psychoneuroendocrinology · doi:10.1016/j.psyneuen.2021.105215 · Cited by 73 · see citing works
The role of social connection on the experience of COVID-19 related post-traumatic growth and stress
Matos, M., McEwan, K., Kanovský, M., Halamová, J., Steindl, S. R., Ferreira, N., Linharelhos, M., Rijo, D., Asano, K., Vilas, S. P., et al. (2021) · PLOS ONE · doi:10.1371/journal.pone.0261384 · Cited by 73 · see citing works
“Therefore, in the face of adversity, having a sense of social connection and affiliation is a critical psychosocial strategy for promoting adjustment, resilience, and growth [21].”
BackgroundLifetime and perceived stress, social support, loneliness, and health in autistic adults.
Moseley, R. L., Turner-Cobb, J. M., Spahr, C. M., Shields, G. S., & Slavich, G. M. (2021) · Health Psychology · doi:10.1037/hea0001108 · Cited by 71 · see citing works
“Ultimately, stress exposure is known to heighten the risk of psychiatric illness alongside cardiovascular, autoimmune, and neurodegenerative diseases and to predict early mortality, especially for stressors that are interpersonal in nature and occur early in life (Slavich, 2020).”
BackgroundInfluentialSelf-citationYue, J.-L., Yan, W., Sun, Y., Yuan, K., Su, S.-Z., Han, Y., Ravindran, A. V., Kosten, T. R., Everall, I., Davey, C. G., et al. (2020) · Psychological Medicine · doi:10.1017/s0033291720003888 · Cited by 62 · see citing works
“Investing in the collection of evidence on the outcomes, workforce requirements, patient engagement, and ethical uses of tele-mental health services will allow them to truly deliver their full potential (Smith et al., 2020).”
BackgroundLullau, A. P. M., Haga, E. M. W., Ronold, E. H., & Dwyer, G. E. (2023) · Frontiers in Neuroscience · doi:10.3389/fnins.2023.1223145 · Cited by 63 · see citing works
“Importantly, stress-induced alterations of glucocorticoid function and sensitivity can hinder HPA axis-regulation of stress and inflammation and reprogram immune cells towards an increasingly proinflammatory state, which can cause degeneration of brain areas involved in stress-and inflammatory responses (McGowan et al…”
BackgroundKunz, N., & Kemper, C. (2021) · Frontiers in Immunology · doi:10.3389/fimmu.2021.629986 · Cited by 61 · see citing works
Madison, A. A., & Bailey, M. T. (2023) · Biological Psychiatry · doi:10.1016/j.biopsych.2023.10.014 · Cited by 67 · see citing works
Shields, G. S., Fassett-Carman, A. N., Gray, Z. J., Gonzales, J. E., Snyder, H. R., & Slavich, G. M. (2022) · Stress and Health · doi:10.1002/smi.3165 · Cited by 63 · see citing works
“This is thus consistent with theories of stress and health that posit that subjective appraisals of stress are integral to initiating stress responses and thus producing detrimental consequences of stress (Abramson et al., 2002; Slavich, 2020, 2022; Slavich & Cole, 2013).”
BackgroundResultSelf-citationFinley, A. J., & Schaefer, S. M. (2022) · Journal of Psychiatry and Brain Science · doi:10.20900/jpbs.20220011 · Cited by 70 · see citing works
“…subjective perceptions of isolation, trigger a specific immune response tuned to prepare for physical injuries (more likely to happen when a social animal is isolated from a social group) and reduce preparedness for viral infections (less likely to happen when isolated from a social group) [35,36].”
BackgroundResultMilas, G., Klarić, I., Malnar, A., Saftić, V., Šupe-Domić, D., & Slavich, G. M. (2021) · Stress and Health · doi:10.1002/smi.3050 · Cited by 59 · see citing works
“…we examined interrelations between several factors known to be associated with health in adolescents (McKnight et al., 2002; Seiffge‐ Krenke, 2019; Slavich, 2016, 2020), and derived a priori hypotheses regarding their relation from the extensive stress and coping literature (Lazarus & Folkman,…”
BackgroundSelf-citationWhole-Child Development, Learning, and Thriving
Cantor, P., Lerner, R. M., Pittman, K. J., Chase, P. A., & Gomperts, N. (2021) · Cambridge University Press eBooks · doi:10.1017/9781108954600 · Cited by 66 · see citing works
Human social genomics: Concepts, mechanisms, and implications for health
Slavich, G. M., Mengelkoch, S., & Cole, S. W. (2023) · Lifestyle Medicine · doi:10.1002/lim2.75 · Cited by 61 · see citing works
“27,92 Recent research using the shelter-in-place restrictions enacted during the global coronavirus pandemic as a natural experiment of social isolation found that whereas in-person social connection was associated with reduced CTRA expression, online social connection was not.”
BackgroundSelf-citationDedoncker, J., Vanderhasselt, M.-A., Ottaviani, C., & Slavich, G. M. (2021) · Neuroscience & Biobehavioral Reviews · doi:10.1016/j.neubiorev.2021.02.010 · Cited by 54 · see citing works
“This central role for social isolation and rejection in affecting health is consistent with Social Safety Theory (Slavich, 2020a), which posits that social isolation and rejection strongly upregulate inflammatory activity, and with Social Baseline Theory, which argues that the social network is the primary source of s…”
BackgroundResultInfluentialSelf-citationKilius, E., Abbas, N. H., McKinnon, L., & Samson, D. R. (2021) · Frontiers in Psychology · doi:10.3389/fpsyg.2021.644636 · Cited by 55 · see citing works
“Revonsuo and Valli (2008) later clarified that threats are not necessarily physical, but can include what Slavich (2020) calls threats to social safety, including isolation, exclusion from the group, and death or illness of a genetic relative (Revonsuo and Valli, 2008), all of which threaten…”
BackgroundA systematic review of associations between emotion regulation characteristics and inflammation
Moriarity, D. P., Grehl, M. M., Walsh, R. F. L., Roos, L. G., Slavich, G. M., & Alloy, L. B. (2023) · Neuroscience & Biobehavioral Reviews · doi:10.1016/j.neubiorev.2023.105162 · Cited by 55 · see citing works
“Social Safety Theory argues that social safety schemas (socially-specific schemas about social safety or threat) are of particular importance for biological and psychological health (Slavich, 2020, 2022; Slavich et al., 2023).”
BackgroundSelf-citationGilbert, P. (2024) · British Journal of Clinical Psychology · doi:10.1111/bjc.12466 · Cited by 56 · see citing works
Oxytocin, cortisol, and cognitive control during acute and naturalistic stress
Kuchenbecker, S. Y., Pressman, S., Celniker, J. B., Grewen, K. M., Sumida, K. D., Jonathan, N., Everett, B., & Slavich, G. M. (2021) · Stress · doi:10.1080/10253890.2021.1876658 · Cited by 44 · see citing works
Self-citationCompassion as a Skill: A Comparison of Contemplative and Evolution-Based Approaches
Gilbert, P., & Gordon, W. V. (2023) · Mindfulness · doi:10.1007/s12671-023-02173-w · Cited by 56 · see citing works
“…evolutionary challenges (Gilbert, 1989, 2005; Gilbert, 2020a; Gilbert, 2020b; Gilbert & Simos, 2022; Goetz et al., 2010; Keltner et al., 2014; Slavich, 2020) with various psychophysiological mediators (Favre et al., 2021; Kim et al., 2020; Petroc-chi et al., 2022; Seppälä et al., 2017;…”
BackgroundInfluentialMengelkoch, S., Moriarity, D. P., Novak, A. M., Snyder, M. P., Slavich, G. M., & Lev‐Ari, S. (2023) · Journal of Clinical Medicine · doi:10.3390/jcm13010024 · Cited by 55 · see citing works
“Humans are inherently social creatures, and our social interactions and their quality influence our stress levels and well-being by influencing perceptions of social safety [36–38].”
BackgroundSelf-citationBeyond social withdrawal: New perspectives on the effects of inflammation on social behavior
Muscatell, K. A., & Inagaki, T. K. (2021) · Brain Behavior & Immunity - Health · doi:10.1016/j.bbih.2021.100302 · Cited by 45 · see citing works
Hollinsaid, N. L., Pachankis, J. E., Bränström, R., & Hatzenbuehler, M. L. (2023) · Clinical Psychological Science · doi:10.1177/21677026231159050 · Cited by 45 · see citing works
“Emerging theoretical models further posit that such hypervigilance-inducing appraisals may be shaped by early and ongoing adversity exposure and by resulting social-safety schemas (Brosschot et al., 2017; Slavich, 2020), particularly during formative development periods such as young adulthood (Brosschot et al.”
BackgroundSocial cohesion and loneliness are associated with the antibody response to COVID-19 vaccination
Gallagher, S. M., Howard, S., Muldoon, O. T., & Whittaker, A. C. (2022) · Brain Behavior and Immunity · doi:10.1016/j.bbi.2022.04.017 · Cited by 42 · see citing works
“cytokines and therefore an individuals’ risk for viral infections and other immune-related disorders (Leschak & Eisenberger, 2019; Shattuck, 2021; Slavich, 2020).”
BackgroundResultInfluentialLattanner, M. R., & Hatzenbuehler, M. L. (2022) · Journal of Social Issues · doi:10.1111/josi.12564 · Cited by 44 · see citing works
Workplace Belonging of Women Healthcare Professionals Relates to Likelihood of Leaving
Schaechter, J. D., Goldstein, R., ZAFONTE, R. D., & Silver, J. K. (2023) · Journal of Healthcare Leadership · doi:10.2147/jhl.s431157 · Cited by 43 · see citing works
Increased inflammation predicts nine-year change in major depressive disorder diagnostic status.
Zainal, N. H., & Newman, M. G. (2021) · Journal of Abnormal Psychology · doi:10.1037/abn0000716 · Cited by 41 · see citing works
The future is dynamic: A call for intensive longitudinal data in immunopsychiatry
Moriarity, D. P., & Slavich, G. M. (2023) · Brain Behavior and Immunity · doi:10.1016/j.bbi.2023.06.002 · Cited by 35 · see citing works
“…2002, 2004), regulation of emotions during acute immune responses (Hansson et al., 2021), interplay between social processes and immune biology (Slavich, 2020; Slavich, 2022; Slavich et al., 2023), inflammation and depression (Moriarity et al., 2020), antiinflammatory effects of psychotherapy…”
BackgroundSelf-citationInteraction-Shaping Robotics: Robots That Influence Interactions between Other Agents
Gillet, S., Vázquez, M., Andrist, S., Leite, I., & Sebo, S. S. (2024) · ACM Transactions on Human-Robot Interaction · doi:10.1145/3643803 · Cited by 46 · see citing works
“On the contrary, when relationships between people are negative or nonexistent, people suffer from social rejection, loneliness, and poorer physical health [57, 116].”
BackgroundThe impact of stress on sleep quality: a mediation analysis based on longitudinal data
Zhang, J., Xiang, S., Li, X., Tang, Y., & Hu, Q. (2024) · Frontiers in Psychology · doi:10.3389/fpsyg.2024.1431234 · Cited by 49 · see citing works
No safety without emotional safety
Veale, D. M., Robins, E., Thomson, A. B., & Gilbert, P. (2022) · The Lancet Psychiatry · doi:10.1016/s2215-0366(22)00373-x · Cited by 39 · see citing works
Brain–body pathways linking racism and health.
Muscatell, K. A., Alvarez, G., Bonar, A. S., Cardenas, M. N., Galvan, M. J., Merritt, C., & Starks, M. D. (2022) · American Psychologist · doi:10.1037/amp0001084 · Cited by 39 · see citing works
Crosswell, A., Mayer, S. E., Whitehurst, L., Picard, M., Zebarjadian, S., & Epel, E. S. (2023) · Psychology Review · doi:10.1037/rev0000453 · Cited by 43 · see citing works
“Social safety means the environment offers experiences of acceptance, belonging, and inclusion and is free of social threats in the form of emotional distress or social status harm such as judging, shaming, or excluding (Slavich, 2020).”
BackgroundThe effect of social integration on outcomes after major lower extremity amputation
Hawkins, A. T., Pallangyo, A. J., Herman, A. M., Schaumeier, M. J., Smith, A. D., Hevelone, N. D., Crandell, D. M., & Nguyen, L. L. (2015) · Journal of Vascular Surgery · doi:10.1016/j.jvs.2015.07.100 · Cited by 37 · see citing works
Giollabhui, N. M. (2021) · Brain Behavior & Immunity - Health · doi:10.1016/j.bbih.2021.100278 · Cited by 38 · see citing works
“Indeed, recent theories offer a compelling explanation of the interplay of stress and inflammation in the etiology of depression (Slavich, 2020; Slavich and Irwin, 2014).”
BackgroundInfluentialLippke, S., & Warner, L. M. (2022) · Applied Psychology Health and Well-Being · doi:10.1111/aphw.12420 · Cited by 39 · see citing works
Upper Respiratory Tract Infections in Sport and the Immune System Response. A Review
Cicchella, A., Stefanelli, C., & Massaro, M. (2021) · Biology · doi:10.3390/biology10050362 · Cited by 37 · see citing works
“In this respect, social stress is known to be associated with a low immune response [91], and social situation of menace, panic or continuous pressure, can seriously impair the immune system.”
BackgroundGillespie, S. L., Christian, L. M., Mackos, A. R., Nolan, T. S., Gondwe, K. W., Anderson, C. M., Hall, M. W., Williams, K. P., & Slavich, G. M. (2022) · Brain Behavior and Immunity · doi:10.1016/j.bbi.2022.01.008 · Cited by 34 · see citing works
“…discriminant, and predictive validity, and excellent test–retest reliability of up to 0.953 over one month, including in primarily female samples (Cazassa, Oliveira, Spahr, Shields, & Slavich, 2020; Dooley, Slavich, Moreno, & Bower, 2017; Shields, Moons, & Slavich, 2017; Slavich & Shields, 2018).”
BackgroundMethodInfluentialSelf-citationGamaiunova, L., Kreibig, S. D., Dan-Glauser, E., Pellerin, N., Brandt, P.-Y., & Kliegel, M. (2022) · Biological Psychology · doi:10.1016/j.biopsycho.2022.108384 · Cited by 37 · see citing works
“We aimed to investigate the effects of two MBIs on the psychophysiological stress response over distinct temporal stages of the TSST across multiple response systems: HPA axis, SAM system, both branches of the ANS (SNS/PNS), and negative and positive affect.”
BackgroundMethodInfluentialAnnual Research Review: Social relationships and the immune system during development
Robles, T. F. (2020) · Journal of Child Psychology and Psychiatry · doi:10.1111/jcpp.13350 · Cited by 36 · see citing works
Cooper, J. A., Nuutinen, M. R., Lawlor, V. M., DeVries, B. A. M., Barrick, E. M., Hossein, S., Cole, D. J., Leonard, C. V., Hahn, E. C., Teer, A. P., et al. (2021) · Nature Communications · doi:10.1038/s41467-021-23284-9 · Cited by 35 · see citing works
“Toxic stressors are frequently characterized by a lack of predictability and controllability 4 and are often related to social threat, such as isolation, rejection, and exclusion 5,6 .”
Self-citationCao, B., Zhao, Y., Ren, Z., McIntyre, R. S., Teopiz, K. M., Gao, X., & Ding, L. (2021) · Frontiers in Public Health · doi:10.3389/fpubh.2021.697484 · Cited by 35 · see citing works
The experience of loneliness: The role of fears of compassion and social safeness
Best, T., Herring, L., Clarke, C., Kirby, J. N., & Gilbert, P. (2021) · Personality and Individual Differences · doi:10.1016/j.paid.2021.111161 · Cited by 35 · see citing works
Burani, K., Brush, C. J., Shields, G. S., Klein, D. N., Nelson, B. D., Slavich, G. M., & Hajcak, G. (2022) · Psychological Medicine · doi:10.1017/s0033291722001386 · Cited by 33 · see citing works
“…and behavioral outcomes (Slavich et al., 2019) as has its sister instrument, the Adult STRAIN (Banica, Sandre, Shields, Slavich, & Weinberg, 2020, 2021; Cazassa, da Oliveira, Spahr, Shields, & Slavich, 2020; Slavich & Shields, 2018; Sturmbauer, Shields, Hetzel, Rohleder, & Slavich, 2019).”
BackgroundInfluentialSelf-citationKelly, C. A., Trumpff, C., Acosta, C., Assuras, S., Baker, J., Basarrate, S., Behnke, A., Bo, K., Bobba‐Alves, N., Champagne, F. A., et al. (2024) · Trends in Endocrinology and Metabolism · doi:10.1016/j.tem.2024.08.006 · Cited by 33 · see citing works
“It also includes chronic psychosocial states such as social isolation and loneliness, as well as positive exposures such as actual and perceived social support and social safety [75 – 77].”
Self-citationSlavich, G. M., Shields, G. S., Deal, B., Gregory, A. A., & Toussaint, L. L. (2019) · Annals of Behavioral Medicine · doi:10.1093/abm/kaz015 · Cited by 26 · see citing works
Self-citationMorese, R., & Palermo, S. (2022) · Frontiers in Aging Neuroscience · doi:10.3389/fnagi.2022.896218 · Cited by 33 · see citing works
“It is likely that anticipatory neural-immune reactivity to social threat is highly conserved due to situations of social conflict, isolation, devaluation, rejection, and exclusion historically increasing risk of physical injury and infection (Slavich, 2020).”
BackgroundInfluentialEmotions, relationships, health and illness into old age
Uchino, B. N., & Rook, K. S. (2020) · Maturitas · doi:10.1016/j.maturitas.2020.05.014 · Cited by 33 · see citing works
“Social safety is seen as a fundamental human need, and any threats to it can trigger epigenetic changes, that if prolonged over time, can be detrimental to health [48].”
BackgroundSex differences and Psychological Stress: Responses to the COVID-19 epidemic in ChinaPreprint
Song, K., Xu, R., Stratton, T. D., et al. (2020) · medRxiv · doi:10.1101/2020.04.29.20084061 · Cited by 31 · see citing works
Does inflammation link stress to poor COVID‐19 outcome?
Lamontagne, S. J., Pizzagalli, D. A., & Olmstead, M. C. (2020) · Stress and Health · doi:10.1002/smi.3017 · Cited by 30 · see citing works
“, isolation) promote negative health outcomes, such as viral infection and inflammatory‐related diseases (Slavich, 2020).”
BackgroundRisk and protective factors for stress generation: A meta-analytic review
Santee, A. C., Rnic, K., Chang, K. K., Chen, R. X., Hoffmeister, J.-A., Liu, H., LeMoult, J., Dozois, D. J. A., & Starr, L. R. (2023) · Clinical Psychology Review · doi:10.1016/j.cpr.2023.102299 · Cited by 30 · see citing works
Alley, J. C., Gassen, J., & Slavich, G. M. (2024) · Brain Behavior and Immunity · doi:10.1016/j.bbi.2024.07.019 · Cited by 27 · see citing works
“…screening patients ’ stress levels or tailoring adjunctive stress management programs to focus on the specific biological pathways that are maximally disrupted across individuals (Malat et al., 2017; McBain et al., 2023; Princip et al., 2022; Valderhaug and Slavich, 2020; Wulsin et al., 2022).”
BackgroundSelf-citationLynch, J. M., Stange, K. C., Dowrick, C. F., Getz, L., Meredith, P. J., van Driel, M., Harris, M., Tillack, K., & Tapp, C. (2025) · Frontiers in Psychology · doi:10.3389/fpsyg.2024.1441493 · Cited by 32 · see citing works
“…of Motivation (Maslow, 1943), Allostatic Load Theory (McEwen, 2007; Lupien et al., 2009), Polyvagal Theory (Porges, 2011), Social Safety Theory (Slavich, 2020), Generalized Unsafety Theory of Stress (Brosschot et al., 2018), Theory of Human Security (Blatz, 1973) and Interpersonal Theory…”
InfluentialMengelkoch, S., Rose, S. M. S., Lautman, Z., Alley, J. C., Roos, L. G., Ehlert, B., Moriarity, D. P., Lancaster, S. M., Snyder, M. P., & Slavich, G. M. (2023) · Brain Behavior and Immunity · doi:10.1016/j.bbi.2023.07.022 · Cited by 28 · see citing works
“…influences gene expression, combining genomics and transcriptomics data can elucidate the mechanisms through which social-environmental factors, such as life stress and adversity, impact health and promote disease risk (Slavich, 2020b, 2022; Slavich et al., 2023a, Slavich et al., 2023b).”
BackgroundSelf-citationReid, B. M., & Georgieff, M. (2023) · Nutrients · doi:10.3390/nu15173798 · Cited by 38 · see citing works
“This definition includes real and interpreted physical danger from another individual, whether through physical assault, abuse, or neglect, and social conflict and isolation [8].”
BackgroundBratman, G. N., Mehta, A., Alvarez, H. A. O., Spink, K. M., Levy, C., White, M. P., Kubzansky, L. D., & Gross, J. J. (2024) · Cognition & Emotion · doi:10.1080/02699931.2024.2316199 · Cited by 36 · see citing works
“For example, with respect to stress speci fi cally, the determination of “ what makes stress stressful ” depends upon a variety of factors that are related to an individual ’ s speci fi c relationship with social and physical environments (Bratman & Olvera-Alvarez, 2022; Sapolsky, 2015; Slavich, 2020).”
Giollabhui, N. M., Slaney, C., Hemani, G., Foley, É. M., van der Most, P. J., Nolte, I. M., Snieder, H., Smith, G. D., Khandaker, G. M., & Hartman, C. A. (2025) · Translational Psychiatry · doi:10.1038/s41398-025-03372-w · Cited by 46 · see citing works
Moriarity, D. P., Ellman, L. M., Coe, C. L., Olino, T. M., & Alloy, L. B. (2021) · Brain Behavior & Immunity - Health · doi:10.1016/j.bbih.2021.100391 · Cited by 27 · see citing works
“First, many theories and hypotheses are described in terms of “inflammation” (e.g., Dooley et al., 2018; Miller et al., 2009; Moriarity et al., 2018; Slavich, 2020), not individual proteins, underscoring a disconnect between theory and analysis.”
BackgroundThe Compassionate Communities Connectors model for end-of-life care: implementation and evaluation
Aoun, S. M., RICHMOND, R. L., Gunton, K., Noonan, K., Abel, J., & Rumbold, B. D. (2022) · Palliative Care and Social Practice · doi:10.1177/26323524221139655 · Cited by 29 · see citing works
Toussaint, L. L., Lee, J. A., Hyun, M., Shields, G. S., & Slavich, G. M. (2022) · Journal of Clinical Psychology · doi:10.1002/jclp.23376 · Cited by 26 · see citing works
“Finally, biological pathways that may underlie associations between forgiveness and depression have been discussed (e.g., Slavich et al., 2019; Slavich, 2020), but the present data do not speak to these potential biological mediators.”
BackgroundSelf-citationFeeling Safe and Nostalgia in Healthy Aging
Fleury, J., Sedikides, C., Wildschut, T., Coon, D. W., & Komnenich, P. (2022) · Frontiers in Psychology · doi:10.3389/fpsyg.2022.843051 · Cited by 25 · see citing works
“Theory and empirical research converge on feeling safe as essential to intrinsic capacity in healthy aging (Slavich, 2020; Porges, 2021; Thayer et al., 2021).”
BackgroundTsomokos, D. I., & Slavich, G. M. (2024) · Nature Mental Health · doi:10.1038/s44220-024-00203-7 · Cited by 29 · see citing works
“…crisis is through the lens of Social Safety Theory, which posits that maintaining close social bonds is a fundamental organizing principle of human health and behavior, and that threats to social connection, such as peer bullying and social rejection, are especially detrimental for health 8,9 .”
InfluentialSelf-citationThe separation distress hypothesis of depression – an update and systematic review
Watt, D. F. (2023) · Neuropsychoanalysis · doi:10.1080/15294145.2023.2240340 · Cited by 25 · see citing works
Hazlett, L. I., Moieni, M., Irwin, M. R., Haltom, K. E. B., Jevtic, I., Meyer, M. L., Breen, E. C., Cole, S. W., & Eisenberger, N. I. (2021) · Brain Behavior and Immunity · doi:10.1016/j.bbi.2021.04.019 · Cited by 26 · see citing works
“…adds to the growing body of scholarship showing us how deeply the emotions and actions that nurture social relationships affect our physiology (Eisenberger & Cole, 2012; Slavich, 2020), and the importance of giving support to others for health and well-being (Brown et al., 2003; Inagaki, 2018).”
Cohen, E. E. A., Davis, A., & Taylor, J. (2022) · Applied Psychology Health and Well-Being · doi:10.1111/aphw.12351 · Cited by 25 · see citing works
“This, in turn, enhances positive affect, psychosocial functioning, and health via multiple direct and indirect pathways (Cohen, 2004; Slavich, 2020).”
Bürgin, D., Clemens, V., Witt, A., Sachser, C., Jud, A., Brähler, E., Strauss, B., Petrowski, K., Schmid, M., & Fegert, J. (2023) · International Journal of Child Abuse & Neglect · doi:10.1016/j.chiabu.2023.106382 · Cited by 23 · see citing works
Parra, L. A., Spahr, C. M., Goldbach, J. T., Bray, B. C., Kipke, M. D., & Slavich, G. M. (2022) · Journal of Clinical Psychology · doi:10.1002/jclp.23463 · Cited by 23 · see citing works
“consistent with a stressor characteristics perspective on stress and health (Slavich et al., 2010; Slavich, 2020), we examined whether associations between life stressors and health differed by exposure timing, primary life domain, and core social‐psychological characteristics, which is critical to developing a more c…”
BackgroundSelf-citationCOVID‐19's multipronged attack on mental health
Nelson, B., & Kaminsky, D. (2020) · Cancer Cytopathology · doi:10.1002/cncy.22364 · Cited by 22 · see citing works
Networks, cultures, and institutions: Toward a social immunology
Shattuck, E. C. (2021) · Brain Behavior & Immunity - Health · doi:10.1016/j.bbih.2021.100367 · Cited by 23 · see citing works
“Indeed, humans may be more sensitive to perturbations in social environments than in physical ones (e.g., Slavich, 2020).”
BackgroundMulti-omics in stress and health research: study designs that will drive the field forward
Mengelkoch, S., Gassen, J., Lev‐Ari, S., Alley, J. C., Rose, S. M. S., Snyder, M. P., & Slavich, G. M. (2024) · Stress · doi:10.1080/10253890.2024.2321610 · Cited by 23 · see citing works
“…system—are attuned to social threats because throughout evolutionary history, these situations signaled elevated risk of injury and infection (see Slavich, 2020; Slavich, 2022; Slavich et al., 2023). there is also evidence that individual differences in the perception of, and response to,…”
BackgroundSelf-citationSocial media use and systemic inflammation: The moderating role of self-esteem
Lee, D. S., & Way, B. M. (2021) · Brain, Behavior, & Immunity - Health · doi:10.1016/j.bbih.2021.100300 · Cited by 21 · see citing works
“…of social relationships and interactions is consistent with theory that threats to social safety (e.g., social conflict, isolation, rejection, exclusion) can undermine health (Slavich, 2020; also see Cole et al., 2015 for a related perspective on perceived social isolation and gene expression).”
BackgroundBroadening Defense Mechanisms: Literature Review and Discussion
Young, G. (2021) · Causality and Neo-Stages in Development · doi:10.1007/978-3-030-82540-9_11 · Cited by 2 · see citing works
Caldwell, J., Kinney, J. W., Ritter, A. R., Salazar, A., Wong, C. G., Cordes, D., & Slavich, G. M. (2020) · Brain Behavior and Immunity · doi:10.1016/j.bbi.2020.12.001 · Cited by 21 · see citing works
Self-citationFighting COVID-19: social capital and community mobilisation in Hong Kong
Lau, P. Y. F. (2020) · International Journal of Sociology and Social Policy · doi:10.1108/ijssp-08-2020-0377 · Cited by 22 · see citing works
McLoughlin, E., Arnold, R., Fletcher, D., Spahr, C. M., Slavich, G. M., & Moore, L. J. (2021) · Psychology of sport and exercise · doi:10.1016/j.psychsport.2021.102078 · Cited by 24 · see citing works
“, sympathetic nervous system, immunological response) pathways (Arnold & Fletcher, 2021; Slavich, 2020).”
BackgroundSelf-citation
- Authors
- Slavich, G. M.
- Affiliations
- University of California, Los Angeles (US)
- Corresponding author
- Slavich, George M.
- ORCID
- Slavich, George M.
- Venue
- Annual Review of Clinical Psychology
- Publisher
- Annual Reviews
- Published
- 2020-05-07
- Volume
- 16
- Issue
- 1
- Pages
- 265-295
- ISSN
- 1548-5943 (ISSN-L)
- 1548-5951
- PMC
- PMC7213777
- OpenAlex
- W3010515129
- Semantic Scholar
- d8142b2861b06dc7bd40175c1223b71e1205ed01
- Cited by
- 502
- References
- 159
- Citations by year
- 2026: 130 · 2025: 90 · 2024: 81 · 2023: 71 · 2022: 57 · 2021: 49 · 2020: 19 · 2019: 2 · 2018: 1 · 2017: 1 · 2015: 1
- FWCI
- 5.10
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Annual Review of Clinical Psychology (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Alliance for Research on Schizophrenia and Depression (K08 MH103443, 23958)
- National Institutes of Health (23958)
- National Institute of Mental Health (K08MH103443)
- Topics
- Life Sciences › Neuroscience › Behavioral Neuroscience › Stress Responses and Cortisol
- Social Sciences › Psychology › Social Psychology › Death Anxiety and Social Exclusion
- Social Sciences › Health › Health disparities and outcomes
- Keywords
- social bonds, social danger, psychological stress, neuroimmune interactions, inflammation, viral infection, social rejection, social isolation, evolutionary psychology, disease risk, threat response
- MeSH terms
- Biological Evolution, Humans, Inflammation, Psychological Theory, Safety, Social Behavior, Stress, Psychological
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