Alone in the Crowd: The Structure and Spread of Loneliness in a Large Social Network

Journal of Personality and Social Psychology

Volumn 97, Issue 6, 2009, Pages 977-991

  Cacioppo, John T ^a   Fowler, James H ^b   Christakis, Nicholas A ^c,d  

^a UNIVERSITY OF CHICAGO   (United States)

^b UNIVERSITY OF CALIFORNIA   (United States)

^c HARVARD MEDICAL SCHOOL   (United States)

^d HARVARD UNIVERSITY   (United States)

Author keywords

contagion; loneliness; longitudinal study; social isolation; social network

Indexed keywords

ARTICLE; COHORT ANALYSIS; FAMILY; FEMALE; FRIEND; HUMAN; HUMAN RELATION; LONELINESS; LONGITUDINAL STUDY; MALE; MIDDLE AGED; PERCEPTION; PROSPECTIVE STUDY; PSYCHOLOGICAL ASPECT; SEX DIFFERENCE; SEX RATIO; SOCIAL ISOLATION; SOCIAL SUPPORT; UNITED STATES;

COHORT STUDIES; FAMILY; FEMALE; FRIENDS; HUMANS; INTERPERSONAL RELATIONS; LONELINESS; LONGITUDINAL STUDIES; MALE; MASSACHUSETTS; MIDDLE AGED; PROSPECTIVE STUDIES; SEX DISTRIBUTION; SEX FACTORS; SOCIAL ISOLATION; SOCIAL PERCEPTION; SOCIAL SUPPORT;

EID: 70349186097     PISSN: 00223514     EISSN: None     Source Type: Journal    
DOI: 10.1037/a0016076     Document Type: Article

References (90)

1. Adam E.K., Hawkley L.C., Kudielka B.M., and Cacioppo J.T. Day-to-day dynamics of experience-cortisol associations in a population-based sample of older adults. Proceedings of the National Academy of Sciences of the United States of America 103 45 (2006) 17058-17063
2. Akerlind I., and Hornquist J.O. Loneliness and alcohol abuse: A review of evidences of an interplay. Social Science and Medicine 34 4 (1992) 405-414
3. Andersson L. Loneliness research and interventions: A review of the literature. Aging & Mental Health 2 4 (1998) 264-274
4. Bartels M., Cacioppo J.T., Hudziak J.J., and Boomsma D.I. Genetic and environmental contributions to stability in loneliness throughout childhood. American Journal of Medical Genetics Part B (Neuropsychiatric Genetics) 147 3 (2008) 385-391
5. Beck N. Time-series-cross-section data: What have we learned in the past few years?. Annual Review of Political Science 4 1 (2001) 271-293
6. Berscheid E. Interpersonal attraction. In: Lindzey G., and Aronson E. (Eds). The handbook of social psychology. 3rd ed. (1985), Random House, New York 413-484
7. Berscheid E., and Reis H.T. Attraction and close relationships. In: Gilbert D.T., Fiske S.T., and Lindzey G. (Eds). The handbook of social psychology. 4th ed. 2 (1998), McGraw Hill, New York 193-281
8. Bondevik M., and Skogstad A. The oldest old, ADL, social network, and loneliness. Western Journal of Nursing Research 20 3 (1998) 325-343
9. Boomsma D.I., Cacioppo J.T., Muthen B., Asparouhov T., and Clark S. Longitudinal genetic analysis for loneliness in Dutch twins. Twin Research and Human Genetics 10 2 (2007) 267-273
10. Boomsma D., Cacioppo J., Slagboom P., and Posthuma D. Genetic linkage and association analysis for loneliness in Dutch twin and sibling pairs points to a region on chromosome 12q23-24. Behavior Genetics 36 1 (2006) 137-146
11. Boomsma D., Willemsen G., Dolan C., Hawkley L., and Cacioppo J. Genetic and environmental contributions to loneliness in adults: The Netherlands Twin Register Study. Behavior Genetics 35 6 (2005) 745-752
12. Brewer M.B., and Gardner W. Who is this "we"? Levels of collective identity and self representations. Journal of Personality and Social Psychology 71 (1996) 83-93
13. Burt R.S. Strangers, friends, and happiness. GSS Technical Report No. 72 (1986), National Opinion Research Center, University of Chicago, Chicago
14. Byrne D. The attraction paradigm (1971), Academic Press, New York
15. Cacioppo J.T., and Gardner W.L. Emotion. Annual Review of Psychology 50 (1999) 191-214
16. Cacioppo J.T., Hawkley L.C., Berntson G.G., Ernst J.M., Gibbs A.C., Stickgold R., et al. Do lonely days invade the nights? Potential social modulation of sleep efficiency. Psychological Science 13 4 (2002) 384-387
17. Cacioppo J.T., Hawkley L.C., Crawford L.E., Ernst J.M., Burleson M.H., Kowalewski R.B., et al. Loneliness and health: Potential mechanisms. Psychosomatic Medicine 64 3 (2002) 407-417
18. Cacioppo J.T., Hawkley L.C., Ernst J.M., Burleson M., Berntson G.G., Nouriani B., et al. Loneliness within a nomological net: An evolutionary perspective. Journal of Research in Personality 40 6 (2006) 1054-1085
19. Cacioppo J.T., and Patrick B. Loneliness: Human nature and the need for social connection (2008), Norton, New York
20. Carrington P.J., Scott J., and Wasserman S. Models and methods in social network analysis (2005), Cambridge University Press, Cambridge, United Kingdom
21. Carstensen L.L. Selectivity theory: Social activity in life-span context. In: Walker A.J., Manoogian-O'Dell M., McGraw A., and White D.L.G. (Eds). Families in later life (2001), Pine Forge Press, Thousand Oaks, CA 265-275
22. Caspi A., Harrington H., Moffitt T.E., Milne B.J., and Poulton R. Socially isolated children 20 years later: Risk of cardiovascular disease. Archives of Pediatric and Adolescent Medicine 160 8 (2006) 805-811
23. Christakis N.A., and Fowler J.H. The spread of obesity in a large social network over 32 years. New England Journal of Medicine 357 4 (2007) 370-379
24. Christakis N.A., and Fowler J.H. The collective dynamics of smoking in a large social network. New England Journal of Medicine 358 21 (2008) 2249-2258
25. Cole S.W., Hawkley L.C., Arevalo J.M., Sung C.Y., Rose R.M., and Cacioppo J.T. Social regulation of gene expression in human leukocytes. Genome Biology 8 9 (2007) R189
26. Cupples L.A., and D'Agnostino R.B. Survival following initial cardiovascular events: 30 year follow-up. In: Kannel W.B., Wolf P.A., and Garrison R.J. (Eds). The Framingham Study: An epidemiological investigation of cardiovascular disease (1988), National Heart, Lung and Blood Institute, Bethesda, MD 88-2969
27. Cutrona C.E. Transition to college: Loneliness and the process of social adjustment. In: Peplau L.A., and Perlman D. (Eds). Loneliness: A sourcebook of current theory, research, and therapy (1982), Wiley, New York 291-309
28. Dronjak S., Gavrilovic L., Filipovic D., and Radojcic M.B. Immobilization and cold stress affect sympatho-adrenomedullary system and pituitary-adrenocortical axis of rats exposed to long-term isolation and crowding. Physiology and Behavior 81 3 (2004) 409-415
29. Dugan E., and Kivett V.R. The importance of emotional and social isolation to loneliness among very old rural adults. Gerontologist 34 3 (1994) 340-346
30. Durkheim E. Suicide: A study in sociology (1951), Free Press, New York
31. Dykstra P.A., and de Jong Gierveld J. Differential indicators of loneliness among elderly. The importance of type of partner relationship, partner history, health, socioeconomic status and social relations. Tijdschrift Voor Gerontologie En Geriatrie 30 5 (1999) 212-225
32. Emler N. Gossip, reputation and adaptation. In: Goodman R.F., and Ben-Ze'ev A. (Eds). Good gossip (1994), University of Kansas Press, Lawrence 34-46
33. Fitzpatrick G.L., and Modlin M.J. Direct-line distances: International edition (1986), Scarecrow Press, Metuchen, NJ
34. Fowler J.H., and Christakis N.A. Dynamic spread of happiness in a large social network: Longitudinal analysis over 20 years in the Framingham Heart Study. British Medical Journal 337 (2008) a2338
35. Fowler J.H., and Christakis N.A. Estimating peer effects on health in social networks: A response to Cohen-Cole and Fletcher; and Trogdon, Nonnemaker, and Pais. Journal of Health Economics 27 5 (2008) 1400-1405
36. Harlow H.F., Dodsworth R.O., and Harlow M.K. Total social isolation in monkeys. Proceedings of the National Academy of Sciences of the United States of America 54 1 (1965) 90-97
37. Hatfield E., Cacioppo J.T., and Rapson R.L. Emotional contagion (1994), Cambridge University Press, New York
38. Hawkley L.C., Browne M.W., and Cacioppo J.T. How can I connect with thee? Let me count the ways. Psychological Science 16 10 (2005) 798-804
39. Hawkley L.C., Hughes M.E., Waite L.J., Masi C.M., Thisted R.A., and Cacioppo J.T. From social structure factors to perceptions of relationship quality and loneliness: The Chicago Health, Aging, and Social Relations Study. Journal of Gerontology: Social Sciences 63B (2008) S375-S384
40. Hawkley L.C., Masi C.M., Berry J.D., and Cacioppo J.T. Loneliness is a unique predictor of age-related differences in systolic blood pressure. Psychology and Aging 21 1 (2006) 152-164
41. Hector-Taylor L., and Adams P. State versus trait loneliness in elderly New Zealanders. Psychological Reports 78 (1996) 1329-1330
42. Heikkinen R.-L., and Kauppinen M. Depressive symptoms in late life: A 10-year follow-up. Archives of Gerontology and Geriatrics 38 3 (2004) 239-250
43. Holmen K., Ericsson K., Andersson L., and Winblad B. Subjective loneliness: A comparison between elderly and relatives. Vard i Norden 12 2 (1992) 9-13
44. House J.S., Landis K.R., and Umberson D. Social relationships and health. Science 241 4865 (1988, July 29) 540-545
45. Jones D.C. Parental divorce, family conflict and friendship networks. Journal of Social and Personal Relationships 9 2 (1992) 219-235
46. Kahneman D., Krueger A.B., Schkade D.A., Schwarz N., and Stone A.A. A survey method for characterizing daily life experience: The day reconstruction method. Science 306 5702 (2004, December 3) 1776-1780
47. Kamada T., and Kawai S. An algorithm for drawing general undirected graphs. Information Processing Letters 31 1 (1989) 7-15
48. Kanitz E., Tuchscherer M., Puppe B., Tuchscherer A., and Stabenow B. Consequences of repeated early isolation in domestic piglets (Sus scrofa) on their behavioural, neuroendocrine, and immunological responses. Brain, Behavior, and Immunity 18 1 (2004) 35-45
49. Kannel W.B., Feinleib M., McNamara P.M., Garrison R.J., and Castelli W.P. An investigation of coronary heart disease in families. The Framingham Offspring Study. American Journal of Epidemiology 110 3 (1979) 281-290
50. Kiecolt-Glaser J.K., Ricker D., George J., Messick G., Speicher C.E., Garner W., et al. Urinary cortisol levels, cellular immunocompetency, and loneliness in psychiatric inpatients. Psychosomatic Medicine 46 1 (1984) 15-23
51. King G., Tomz M., and Wittenberg J. Making the most of statistical analyses: Improving interpretation and presentation. American Journal of Political Science 44 2 (2000) 341-355
52. Lauder W., Mummery K., Jones M., and Caperchione C. A comparison of health behaviours in lonely and non-lonely populations. Psychology, Health & Medicine 11 2 (2006) 233-245
53. Liang K.-Y., and Zeger S.L. Longitudinal data analysis using generalized linear models. Biometrika 73 1 (1986) 13-22
54. Lyons D.M., Ha C.M., and Levine S. Social effects and circadian rhythms in squirrel monkey pituitary-adrenal activity. Hormones and Behavior 29 2 (1995) 177-190
55. McGuire S., and Clifford J. Genetic and environmental contributions to loneliness in children. Psychological Science 11 6 (2000) 487-491
56. McPherson M., Smith-Lovin L., and Cook J.M. Birds of a feather: Homophily in social networks. Annual Review of Sociology 27 1 (2001) 415
57. Mullins L.C., and Dugan E. The influence of depression, and family and friendship relations, on residents' loneliness in congregate housing. Gerontologist 30 3 (1990) 377-384
58. Myers D.G., and Diener E. Who is happy?. Psychological Science 6 1 (1995) 10-19
59. Nation D.A., Gonzales J.A., Mendez A.J., Zaias J., Szeto A., Brooks L.G., et al. The effect of social environment on markers of vascular oxidative stress and inflammation in the Watanabe heritable hyperlipidemic rabbit. Psychosomatic Medicine 70 3 (2008) 269-275
60. Neimeyer R.A., and Mitchell K.A. Similarity and attraction: A longitudinal study. Journal of Social and Personal Relationships 5 2 (1988) 131-148
61. Nonogaki K., Nozue K., and Oka Y. Social isolation affects the development of obesity and Type 2 diabetes in mice. Endocrinology 148 10 (2007) 4658-4666
62. Penninx B.W., van Tilburg T., Kriegsman D.M., Deeg D.J., Boeke A.J., and van Eijk J.T. Effects of social support and personal coping resources on mortality in older age: The Longitudinal Aging Study Amsterdam. American Journal of Epidemiology 146 6 (1997) 510-519
63. Peplau L., and Perlman D. Perspectives on loneliness. In: Peplau L., and Perlman D. (Eds). Loneliness: A source book of current theory, research and therapy (1982), Wiley, New York 1-18
64. Pinquart M., and Sorenson S. Risk factors for loneliness in adulthood and old age: A meta-analysis. In: Shohov S.P. (Ed). Advances in psychology reseach 19 (2003), NOVA Science Publishers, Hauppauge, NY 111-143
65. Poletto R., Steibel J.P., Siegford J.M., and Zanella A.J. Effects of early weaning and social isolation on the expression of glucocorticoid and mineralocorticoid receptor and 11beta-hydroxysteroid dehydrogenase 1 and 2 mRNAs in the frontal cortex and hippocampus of piglets. Brain Research 1067 1 (2006) 36-42
66. Pressman S.D., Cohen S., Miller G.E., Barkin A., Rabin B.S., and Treanor J.J. Loneliness, social network size, and immune response to influenza vaccination in college freshmen. Health Psychology 24 3 (2005) 297-306
67. Quan S.F., Howard B.V., Iber C., Kiley J.P., Nieto F.J., O'Connor G.T., et al. The Sleep Heart Health Study: Design, rationale, and methods. Sleep 20 12 (1997) 1077-1085
68. Radloff L.S. The CES-D scale: A self-report depression scale for research in the general population. Applied Psychological Measurement 1 3 (1977) 385-401
69. Rook K.S. Promoting social bonding: Strategies for helping the lonely and socially isolated. American Psychologist 39 12 (1984) 1389-1407
70. Rotenberg K. Loneliness and interpersonal trust. Journal of Social and Clinical Psychology 13 2 (1994) 152-173
71. Routasalo P.E., Savikko N., Tilvis R.S., Strandberg T.E., and Pitkala K.H. Social contacts and their relationship to loneliness among aged people: A population-based study. Gerontology 52 3 (2006) 181-187
72. Ruan H., and Wu C.F. Social interaction-mediated lifespan extension of Drosophila Cu/Zn superoxide dismutase mutants. Proceedings of the National Academy of Sciences of the United States of America 105 21 (2008) 7506-7510
73. Rudatsikira E., Muula A.S., Siziya S., and Twa-Twa J. Suicidal ideation and associated factors among school-going adolescents in rural Uganda. BMC Psychiatry 7 (2007) 67
74. Russell D., Peplau L.A., and Cutrona C.E. The revised UCLA Loneliness Scale: Concurrent and discriminant validity evidence. Journal of Personality and Social Psychology 39 3 (1980) 472-480
75. Russell D.W., Cutrona C.E., de la Mora A., and Wallace R.B. Loneliness and nursing home admission among rural older adults. Psychology and Aging 12 4 (1997) 574-589
76. Samuelsson G., Andersson L., and Hagberg B. Loneliness in relation to social, psychological and medical variables over a 13-year period: A study of the elderly in a Swedish rural district. Journal of Mental Health and Aging 4 (1998) 361-378
77. Savikko N., Routasalo P., Tilvis R.S., Strandberg T.E., and Pitkala K.H. Predictors and subjective causes of loneliness in an aged population. Archives of Gerontology and Geriatrics 41 3 (2005) 223-233
78. Schildcrout J.S., and Heagerty P.J. Regression analysis of longitudinal binary data with time-dependent environmental covariates: Bias and efficiency. Biostatistics 6 4 (2005) 633-652
79. Seeman T. Health promoting effects of friends and family on health outcomes in older adults. American Journal of Health Promotion 14 6 (2000) 362-370
80. Segrin C. Social skills, stressful events, and the development of psychosocial problems. Journal of Social & Clinical Psychology 18 (1999) 14-34
81. Shaver P.R., and Brennan K.A. Measures of depression and loneliness. In: Robinson J.P., Shaver P.R., and Wrightsman L.S. (Eds). Measures of personality and social psychological attitudes: Measures of social psychological attitudes 1 (1991), Academic Press, San Diego, CA 195-289
82. Spector W.D., Katz S., Murphy J.B., and Fulton J.B. The hierarchical relationship between activities of daily living and instrumental activities of daily living. Journal of Chronic Diseases 40 (1987) 481-490
83. Steptoe A., Owen N., Kunz-Ebrecht S.R., and Brydon L. Loneliness and neuroendocrine, cardiovascular, and inflammatory stress responses in middle-aged men and women. Psychoneuroendocrinology 29 5 (2004) 593-611
84. Stranahan A.M., Khalil D., and Gould E. Social isolation delays the positive effects of running on adult neurogenesis. Nature Neuroscience 9 4 (2006) 526-533
85. Sugisawa H., Liang J., and Liu X. Social networks, social support, and mortality among older people in Japan. Journal of Gerontology 49 1 (1994) S3-S13
86. Szabo G., and Barabasi A.L. Network effects in service usage (2007). http://lanl.arxiv.org/abs/physics/0611177 Retrieved December 12, 2007, from http://lanl.arxiv.org/abs/physics/0611177
87. Tilvis R.S., Pitkala K.H., Jolkkonen J., and Strandberg T.E. Social networks and dementia. Lancet 356 9223 (2000) 77-78
88. Wei P.A.N. Goodness-of-fit tests for GEE with correlated binary data. Scandinavian Journal of Statistics 29 1 (2002) 101-110
89. Wheeler L., Reis H., and Nezlek J. Loneliness, social interaction, and sex roles. Journal of Personality and Social Psychology 45 4 (1983) 943-953
90. Wilson R.S., Krueger K.R., Arnold S.E., Schneider J.A., Kelly J.F., Barnes L.L., et al. Loneliness and risk of Alzheimer disease. Archives of General Psychiatry 64 2 (2007) 234-240