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Abstract

Recent scientific work has established both a theoretical basis and strong empirical evidence for a causal impact of social relationships on health. Prospective studies, which control for baseline health status, consistently show increased risk of death among persons with a low quantity, and sometimes low quality, of social relationships. Experimental and quasi-experimental studies of humans and animals also suggest that social isolation is a major risk factor for mortality from widely varying causes. The mechanisms through which social relationships affect health and the factors that promote or inhibit the development and maintenance of social relationships remain to be explored.

References

CIRCULATION 63: 1199 (1982).
Report to the President (1978).
U.S. Surgeon General's Advisory Committee on Smoking and Health, Smoking and Health (1964).
Antonovsky, A., Health, Stress and Coping (1979).
BACK, K.W., BUFFER CONDITIONS IN EXPERIMENTAL STRESS, BEHAVIORAL SCIENCE 12: 384 (1967).
BERKMAN, L.F., SOCIAL NETWORKS, HOST-RESISTANCE, AND MORTALITY - 9-YEAR FOLLOW-UP-STUDY OF ALAMEDA COUNTY RESIDENTS, AMERICAN JOURNAL OF EPIDEMIOLOGY 109: 186 (1979).
Berkman, L. F., Social Support and Health: 241 (1985).
BLAZER, D.G., SOCIAL SUPPORT AND MORTALITY IN AN ELDERLY COMMUNITY POPULATION, AMERICAN JOURNAL OF EPIDEMIOLOGY 115: 684 (1982).
Bovard, E. W., Perspectives on Behavioral Medicine 2 (1985).
Bowlby, J., Loneliness: The Experience of Emotional and Social Isolation (1973).
BROADHEAD, W.E., THE EPIDEMIOLOGIC EVIDENCE FOR A RELATIONSHIP BETWEEN SOCIAL SUPPORT AND HEALTH, AMERICAN JOURNAL OF EPIDEMIOLOGY 117: 521 (1983).
Caplan, G., Support Systems and Community Mental Health (1974).
Carter, H., Marriage and Divorce: A Social and Economic Study (1970).
CASSEL, J, CONTRIBUTION OF SOCIAL-ENVIRONMENT TO HOST-RESISTANCE - 4TH WADE HAMPTON FROST LECTURE, AMERICAN JOURNAL OF EPIDEMIOLOGY 104: 107 (1976).
Cassel, J., Social Stress: 189 (1970).
Cherlin, A., Marriage, Divorce, Remarriage (1981).
COBB, S, SOCIAL SUPPORT AS A MODERATOR OF LIFE STRESS, PSYCHOSOMATIC MEDICINE 38: 300 (1976).
COHEN, S, PSYCHOSOCIAL MODELS OF THE ROLE OF SOCIAL SUPPORT IN THE ETIOLOGY OF PHYSICAL DISEASE, HEALTH PSYCHOLOGY 7: 269 (1988).
COHEN, S, SOCIAL SKILLS AND THE STRESS-PROTECTIVE ROLE OF SOCIAL SUPPORT, JOURNAL OF PERSONALITY AND SOCIAL PSYCHOLOGY 50: 963 (1986).
Cohen, S., Social Support and Health (1985).
Darwin, C., Expression of the Emotions in Man and Animals (1965).
Durkheim, E., Suicide (1951).
FARIS, REL, AM J SOCIOL 39: 155 (1934).
GOLDMEIER, J, PETS OR PEOPLE - ANOTHER RESEARCH NOTE, GERONTOLOGIST 26: 203 (1986).
GOVE, W.R., RELATIONSHIP BETWEEN SEX ROLES, MARITAL STATUS, AND MENTAL-ILLNESS, SOCIAL FORCES 51: 34 (1972).
Heller, K., Maximizing Treatment Gains: Transfer Enhancement in Psychotherapy: 353 (1979).
HELSING, K.J., MORTALITY AFTER BEREAVEMENT, AMERICAN JOURNAL OF EPIDEMIOLOGY 114: 41 (1981).
Holmes, T. H., Personality, Stress and Tuberculosis (1956).
HOUSE, J.S., THE ASSOCIATION OF SOCIAL RELATIONSHIPS AND ACTIVITIES WITH MORTALITY - PROSPECTIVE EVIDENCE FROM THE TECUMSEH COMMUNITY-HEALTH STUDY, AMERICAN JOURNAL OF EPIDEMIOLOGY 116: 123 (1982).
House, J. S., Annual Review of Sociology 14: 1 (1988).
HOUSE, J.S., SOCIOLOGICAL FORUM 2: 135 (1987).
House, J. S., Work Stress and Social Support (1981).
Kaplan, G. A., American Journal of Epidemiology 128: 370 (1988).
Kitigawa, E. M., Differential Mortality in the United States: A Study in Socio-Economic Epidemiology (1973).
KOHN, M.L., AMERICAN SOCIOLOGICAL REVIEW 20: 265 (1955).
KRAUS, A.S., JOURNAL OF CHRONIC DISEASES 10: 207 (1959).
Lazarus, R. S., Stress, Appraisal, and Coping (1984).
Lilienfeld, A. M., Foundations of Epidemiology (1980).
Lynch, J. J., The Broken Heart (1979).
Mendoza, S. P., Social Cohesion: Essays Toward a Sociophysiological Perspective (1984).
NEREM, R.M., SOCIAL-ENVIRONMENT AS A FACTOR IN DIET-INDUCED ATHEROSCLEROSIS, SCIENCE 208: 1475 (1980).
ORTHGOMER, K, SOCIAL NETWORK INTERACTION AND MORTALITY - A 6 YEAR FOLLOW-UP-STUDY OF A RANDOM SAMPLE OF THE SWEDISH POPULATION, JOURNAL OF CHRONIC DISEASES 40: 949 (1987).
Orth-Gomer, K., Social Support: Health and Disease: 21 (1986).
REED, D, SOCIAL NETWORKS AND CORONARY HEART-DISEASE AMONG JAPANESE MEN IN HAWAII, AMERICAN JOURNAL OF EPIDEMIOLOGY 117: 384 (1983).
ROOK, K.S., THE NEGATIVE SIDE OF SOCIAL-INTERACTION - IMPACT ON PSYCHOLOGICAL WELL-BEING, JOURNAL OF PERSONALITY AND SOCIAL PSYCHOLOGY 46: 1097 (1984).
RUBERMAN, W, PSYCHOSOCIAL INFLUENCES ON MORTALITY AFTER MYOCARDIAL-INFARCTION, NEW ENGLAND JOURNAL OF MEDICINE 311: 552 (1984).
SCHOENBACH, V.J., SOCIAL TIES AND MORTALITY IN EVANS COUNTY, GEORGIA, AMERICAN JOURNAL OF EPIDEMIOLOGY 123: 577 (1986).
SCHULZ, R, LONG-TERM ADJUSTMENT TO PHYSICAL-DISABILITY - THE ROLE OF SOCIAL SUPPORT, PERCEIVED CONTROL, AND SELF-BLAME, JOURNAL OF PERSONALITY AND SOCIAL PSYCHOLOGY 48: 1162 (1985).
SEEMAN, T.E., SOCIAL NETWORK TIES AND MORTALITY AMONG THE ELDERLY IN THE ALAMEDA COUNTY STUDY, AMERICAN JOURNAL OF EPIDEMIOLOGY 126: 714 (1987).
STROEBE, M.S., WHO SUFFERS MORE - SEX-DIFFERENCES IN HEALTH RISKS OF THE WIDOWED, PSYCHOLOGICAL BULLETIN 93: 279 (1983).
THOITS, P.A., CONCEPTUAL, METHODOLOGICAL, AND THEORETICAL PROBLEMS IN STUDYING SOCIAL SUPPORT AS A BUFFER AGAINST LIFE STRESS, JOURNAL OF HEALTH AND SOCIAL BEHAVIOR 23: 145 (1982).
Tibblin, G., Social Support: Health and Disease: 11 (1986).
TILLMANN, W.A., THE ACCIDENT-PRONE AUTOMOBILE DRIVER - A STUDY OF THE PSYCHIATRIC AND SOCIAL BACKGROUND, AMERICAN JOURNAL OF PSYCHIATRY 106: 321 (1949).
UMBERSON, D, FAMILY STATUS AND HEALTH BEHAVIORS - SOCIAL-CONTROL AS A DIMENSION OF SOCIAL INTEGRATION, JOURNAL OF HEALTH AND SOCIAL BEHAVIOR 28: 306 (1987).
VEROFF, J, INNER AM SELF PORTRA (1981).
WATKINS, S.C., DEMOGRAPHIC FOUNDATIONS OF FAMILY CHANGE, AMERICAN SOCIOLOGICAL REVIEW 52: 346 (1987).
WEITZMAN, L.J., DIVORCE REVOLUTION (1985).
WELIN, L, PROSPECTIVE-STUDY OF SOCIAL INFLUENCES ON MORTALITY - THE STUDY OF MEN BORN IN 1913 AND 1923, LANCET 1: 915 (1985).
WHEELER, L, LONELINESS, SOCIAL-INTERACTION, AND SEX-ROLES, JOURNAL OF PERSONALITY AND SOCIAL PSYCHOLOGY 45: 943 (1983).
WRIGHTSMAN, L.S., EFFECTS OF WAITING WITH OTHERS ON CHANGES IN LEVEL OF FELT ANXIETY, JOURNAL OF ABNORMAL AND SOCIAL PSYCHOLOGY 61: 216 (1960).
ZAJONC, R.B., SOCIAL FACILITATION, SCIENCE 149: 269 (1965).
ZUCKERMAN, D.M., PSYCHOSOCIAL PREDICTORS OF MORTALITY AMONG THE ELDERLY POOR - THE ROLE OF RELIGION, WELL-BEING, AND SOCIAL CONTACTS, AMERICAN JOURNAL OF EPIDEMIOLOGY 119: 410 (1984).
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Science
Volume 241 | Issue 4865
29 July 1988

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Published in print: 29 July 1988

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