[Loneliness in times of global polycrises].

IF 0.9 4区 医学 Q4 CLINICAL NEUROLOGY Nervenarzt Pub Date : 2024-11-01 Epub Date: 2024-09-13 DOI:10.1007/s00115-024-01739-w
Sebastian Spanknebel, Simon Barton, René Hurlemann
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Abstract

Global polycrises comprise the synchronous or consecutive occurrence of various crises, with no intervening phases of stability, e.g., coronavirus disease 2019 (COVID-19) pandemic, inflation, war and climate crisis. This poses challenges for both society as a whole and its individual members. Polycrises are associated with enormous psychological stress, especially for vulnerable groups. Polycrises also impair social interaction, which can trigger or intensify subjectively stressful loneliness. The aim of this narrative review is to show how loneliness affects social behavior in times of global polycrises and what the consequences are. Loneliness is associated with both mental and physical morbidity and mortality as well as being a significant barrier to recovery. Studies have shown that there is a mutual detrimental influence between mental illness and loneliness. The social behavior of chronically lonely people is characterized by a negative cognitive bias, hypervigilance in the social context and a dysregulated oxytocin system. Furthermore, the quality and quantity of these relationships are significantly impaired. The social consequences of loneliness are, for example, a decrease in social engagement and low voting participation. The phenomenon of loneliness clearly shows that crises can exacerbate latent problems and bring them to the surface; however, crises should also be seen as an opportunity to openly and constructively address shame-laden topics such as loneliness in public discourse and in psychotherapeutic settings.

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[全球多重危机时代的孤独感]。
全球多重危机包括各种危机的同步或连续发生,中间没有稳定阶段,如 2019 年冠状病毒病(COVID-19)大流行、通货膨胀、战争和气候危机。这对整个社会及其个体成员都构成了挑战。多重危机带来巨大的心理压力,尤其是对弱势群体而言。多重危机也会损害社会交往,从而引发或加剧主观上的孤独感。本综述旨在说明在全球多重危机时期,孤独感是如何影响社会行为的,以及会产生什么后果。孤独与精神和身体的发病率和死亡率有关,也是康复的一大障碍。研究表明,精神疾病与孤独之间存在着相互不利的影响。长期孤独者的社会行为特点是负面认知偏差、在社会环境中过度警觉以及催产素系统失调。此外,这些关系的质和量都会受到严重影响。孤独的社会后果包括社会参与度降低和投票参与率低等。孤独现象清楚地表明,危机会加剧潜在的问题并使其浮出水面;然而,危机也应被视为一个机会,可以在公共讨论和心理治疗环境中公开和建设性地解决孤独等充满羞耻感的话题。
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来源期刊
Nervenarzt
Nervenarzt 医学-精神病学
CiteScore
2.50
自引率
18.20%
发文量
169
审稿时长
4-8 weeks
期刊介绍: Der Nervenarzt is an internationally recognized journal addressing neurologists and psychiatrists working in clinical or practical environments. Essential findings and current information from neurology, psychiatry as well as neuropathology, neurosurgery up to psychotherapy are presented. Review articles provide an overview on selected topics and offer the reader a summary of current findings from all fields of neurology and psychiatry. Freely submitted original papers allow the presentation of important clinical studies and serve the scientific exchange. Review articles under the rubric ''Continuing Medical Education'' present verified results of scientific research and their integration into daily practice.
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