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Loneliness could kill you

<div class="theconversation-article-body"><a href="https://theconversation.com/profiles/gillian-leithman-414232">Gillian Leithman</a>, <a href="https://theconversation.com/institutions/concordia-university-1183">Concordia University</a> Independence is glorified in North American culture as a symbol of strength. As a society, we value individual achievement and extol self-reliance. I am an expert on aging and retirement and I also help employees transition from work to retirement by facilitating seminars and workshops in corporate Canada. And I often wonder however if our “go at it alone” attitude has led us down a lonely and isolating path. Here are some recent stats: <ul> <li> 40 per cent of Americans <a href="https://hbr.org/cover-story/2017/09/work-and-the-loneliness-epidemic">don’t feel close to others</a> at any given time. And the number of lonely Americans has doubled since the 1980s. </li> <li> <a href="http://www.carp.ca/2017/06/05/loneliness-survey-results/">In a recent Canadian Association of Retired People poll</a>, 16 per cent of Canadians indicated that they lacked companionship </li> <li> Fifteen per cent in the CARP poll said they had nobody to turn to or talk to </li> <li> Fifteen per cent were unhappy doing things alone. </li> </ul> I suspect that these numbers are even higher among the general Canadian population, not just CARP members. According to science, loneliness shortens our lifespan. <a href="https://news.uchicago.edu/article/2014/02/16/aaas-2014-loneliness-major-health-risk-older-adults">Twice as much as obesity.</a> Yes, you read that right. Dr. John <a href="http://psychology.uchicago.edu/people/faculty/cacioppo/">Cacioppo</a>, the world’s foremost authority on loneliness, maintains that the number of people in your life does not inoculate you from experiencing loneliness. Rather, it’s the feeling of being lonely that places the brain and body at risk. Cacioppo equates feeling lonely with feeling hungry. We compromise our survival and well-being when either is ignored. We are biologically hardwired to respond to our environment. When we experience low blood-sugar levels, we crave food. The feeling of our stomachs being empty is a warning sign to eat and it’s essential to our very survival. When we feel lonely, we desire connection with others, much like the loud rumble that your tummy makes when hungry. <h2>A lonely brain is restless</h2> Loneliness triggers “hyper-vigilance.” That is your brain is on the lookout for social threats, which consequently puts us on the defensive. We become more reactive to negative events and perceive daily hassles as more stressful. A lonely brain awakens often, experiences fragmented sleep and cannot recover from the day’s stressful events. A lonely brain is also subject to an increase in depressive symptoms and has difficulty self-regulating. That is why you may find yourself irritable and impulsive. A lonely brain is also at risk of cognitive and physical decline. <a href="https://www.ncbi.nlm.nih.gov/pubmed/23232034">A three-year Dutch study</a> followed more than 2,000 participants aged 65 to 86. While none of the participants had signs of dementia at the outset of the study, results revealed that those who reported feeling lonely had a 64 per cent increase in the risk of developing dementia. People also experience an increase in loneliness when they retire from work. That’s why you want <a href="http://rewiretoretire.com/delay-retirement/">to make sure that you’re retiring to something</a>, and that you have friends outside of your place of employment. <h2>A lonely body</h2> Loneliness also affects the body. Psychologist <a href="https://irp.nih.gov/pi/stephen-suomi">Stephen Suomi’s</a> research indicates that loneliness distorts the expression of certain genes. An experiment separating newborn primates from their mothers during their first four months of life resulted in the altered development of immunity-related genes that help the body fight viruses. Social psychologist <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3633610/">Lisa Jaremka’s research</a> indicates that lonely people have higher levels of activated viruses in their system and are at greater risk of suffering from chronic inflammation, which has been linked to Type 2 diabetes, arthritis, heart disease and even suicide. While obesity increases your odds of an early death by 20 per cent, loneliness increases <a href="https://www.ucsf.edu/news/2012/06/12184/loneliness-linked-serious-health-problems-and-death-among-elderly">your odds by 45 per cent</a>. What are we to do with an emotional state that is so powerful that it can alter our brains, compromise our physiology and cut short our longevity? <h2>The antidote to loneliness</h2> <ol> <li> Seek out connection: We all need a tribe! </li> <li> Stop denying and accept “feeling lonely” as simply a craving for connection. </li> <li> Acknowledge the consequences of prolonged loneliness. If you ignore hunger, you starve. Same is true of our need for belonging. If you feel lonely, reach out to others. </li> <li> Recognize that quality relationships are most effective at feeding this void. </li> </ol> We are physiologically and psychologically primed for connection. The next time you feel lonely and out of sorts, acknowledge it as a signal that you are in need of connection and seek out companionship. Your body and your brain will be thankful that you did, and you may even increase your longevity.<img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/87217/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /> <a href="https://theconversation.com/profiles/gillian-leithman-414232">Gillian Leithman</a>, Assistant Professor of professional business skills and aging, retirement, and knowledge management researcher, <a href="https://theconversation.com/institutions/concordia-university-1183">Concordia University</a> Image credits: Shutterstock This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/loneliness-could-kill-you-87217">original article</a>. </div>

Caring

It’s hard to reach out to old friends, but doing so may help alleviate loneliness

<div class="theconversation-article-body"> <a href="https://theconversation.com/profiles/lara-b-aknin-1365501">Lara B Aknin</a>, <a href="https://theconversation.com/institutions/simon-fraser-university-1282">Simon Fraser University</a>; <a href="https://theconversation.com/profiles/gillian-sandstrom-1283157">Gillian Sandstrom</a>, <a href="https://theconversation.com/institutions/university-of-sussex-1218">University of Sussex</a>, and <a href="https://theconversation.com/profiles/kristina-castaneto-1548733">Kristina Castaneto</a>, <a href="https://theconversation.com/institutions/simon-fraser-university-1282">Simon Fraser University</a> Millions of <a href="https://www150.statcan.gc.ca/t1/tbl1/en/tv.action?pid=4510004801">Canadians are lonely</a>. This is worrisome because loneliness, defined by the World Health Organization as “<a href="https://www.who.int/news/item/15-11-2023-who-launches-commission-to-foster-social-connection">the social pain of not feeling connected</a>,” predicts both lower mental and physical health. Research shows that lacking a sense of social connection can pose an <a href="https://doi.org/10.1177/1745691614568352">equivalent health risk to smoking 15 cigarettes per day</a>. To combat loneliness, people are commonly advised to seek out social connection. For many, this guidance brings to mind spending time with loved ones, such as close friends, family and romantic partners. But are there other people we can reach out to? In our research, recently published in Communications Psychology, we examined whether people have “old friends” — individuals that they care about but with whom they have lost touch — and <a href="https://doi.org/10.1038/s44271-024-00075-8">how easily these relationships can be rekindled</a>. We found that certain strategies can help people reconnect — and, in new research, we are getting a sense that certain values and personality traits may make it easier for people to stay in touch far into the future. <h2>Reconnecting with old friends</h2> Across a series of seven studies, we found the majority of people reported having an old friend. Yet, when we asked over 400 participants how willing they would be to reach out to an old friend right now, most said they were neutral or unwilling. In fact, in one study, people reported being no more willing to reach out to an old friend than they were to talk to a stranger or pick up trash. This reluctance was observable in behaviour too. We conducted two experiments in which more than 1,000 people were given several minutes to draft and send a message to an old friend. Only 30 per cent sent the message to their old friend. Given that reaching out to an old friend could boost <a href="https://www.forbes.com/sites/nextavenue/2018/08/19/the-power-and-joy-of-reconnecting-with-old-friends/">feelings of social connection and happiness</a>, we tried designing interventions to encourage reaching out. For instance, we reminded participants that reaching out to an old friend was an act of kindness and that the recipient would appreciate it more than they realize. We also tried telling participants not to overthink it — to just send their message. Unfortunately, neither prompt was effective at encouraging more people to reach out. <h2>Reluctance to reconnect</h2> Why are people reluctant to reach out to old friends? There may be a number of reasons, including the possibility that old friends feel like strangers after time has passed. In one study with over 500 participants we asked people to list between three to five old friends, and tell us how close each one felt to them right now. The more unfamiliar an old friend felt, the less willing people were to reach out. Research has found that when people <a href="https://doi.org/10.1016/j.jesp.2022.104356">practise talking to strangers for a week</a>, they become less anxious about it. If old friends can feel like strangers, might a similar strategy encourage people to reach out to old friends? To find out, we conducted an experiment in which we randomly assigned some people to complete a three-minute warm-up activity in which they messaged current family or friends. Other participants were randomly assigned to a control condition in which they simply browsed social media for three minutes instead. Afterward, all participants were given an opportunity to write and send a message to an old friend. While only 30 per cent of participants sent their message in the control condition, over 50 per cent did so after warming-up, suggesting that practising the behaviour that underlies reaching out may make this act easier. <h2>Personality traits</h2> We are extending this research in a number of new directions. For instance, in some newly conducted and unpublished research, we are examining whether people with certain personality traits or beliefs are more likely to send a message to an old friend. Responses from over 300 people suggest that people who are open to new experiences — <a href="https://www.psychologytoday.com/ca/basics/big-5-personality-traits">one of the five key personality traits studied by psychologists</a> — say they are willing to reach out to an old friend. Despite this inclination, our research found that highly open people do not necessarily communicate with old friends when given the chance. On the other hand, people’s values and beliefs may be important determinants of whether they stay in touch. Our preliminary work shows that people who see friendship as a bond that does not easily break may be more likely to reach out than others. We hope this work helps normalize the fact that friendships can fade and be hard to rekindle. That said, with some practice, people can overcome this reluctance and hit “send” to potentially open a path to connection and less loneliness.<img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/234895/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /> <a href="https://theconversation.com/profiles/lara-b-aknin-1365501">Lara B Aknin</a>, Distinguished Professor of Social Psychology, <a href="https://theconversation.com/institutions/simon-fraser-university-1282">Simon Fraser University</a>; <a href="https://theconversation.com/profiles/gillian-sandstrom-1283157">Gillian Sandstrom</a>, Senior Lecturer, School of Psychology, <a href="https://theconversation.com/institutions/university-of-sussex-1218">University of Sussex</a>, and <a href="https://theconversation.com/profiles/kristina-castaneto-1548733">Kristina Castaneto</a>, Master's Student, Psychology, <a href="https://theconversation.com/institutions/simon-fraser-university-1282">Simon Fraser University</a> Image credits: Shutterstock This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/its-hard-to-reach-out-to-old-friends-but-doing-so-may-help-alleviate-loneliness-234895">original article</a>. </div>

Relationships

Financial hardship is the biggest driver of loneliness. Here’s why – and how to tackle it

<div class="theconversation-article-body"><a href="https://theconversation.com/profiles/michelle-h-lim-176472">Michelle H Lim</a>, <a href="https://theconversation.com/institutions/university-of-sydney-841">University of Sydney</a> One in four Australians <a href="https://lonelinessawarenessweek.com.au/wp-content/uploads/2024/08/why-we-feel-lonely.pdf">report</a> feeling lonely, according to our new report released this week from our research collaboration. The data builds on a large <a href="https://endingloneliness.com.au/wp-content/uploads/2023/10/ELT_LNA_Report_Digital.pdf">study we conducted last year</a> on social connection. Together, the data show that once someone <a href="https://endingloneliness.com.au/wp-content/uploads/2023/10/ELT_LNA_Report_Digital.pdf">becomes lonely</a>, they’re likely to stay lonely. Feeling lonely can have a <a href="https://endingloneliness.com.au/wp-content/uploads/2023/10/ELT_LNA_Report_Digital.pdf">negative impact on your health</a>. It increases the chance of having <a href="https://pubmed.ncbi.nlm.nih.gov/27124713/">social anxiety and depression</a>, and impacts the <a href="http://dx.doi.org/10.1037/0022-3514.85.1.105">health of your heart</a>, your <a href="http://pss.sagepub.com/content/13/4/384.full.pdf">sleep</a> and levels of <a href="https://pubmed.ncbi.nlm.nih.gov/15041083/">inflammation</a>. It also increases the likelihood of an <a href="https://www.ncbi.nlm.nih.gov/pubmed/?term=Loneliness+and+Social+Isolation+as+Risk+Factors+for+Mortality%3A+A+Meta-Analytic+Review">earlier death</a>. Staying lonely can accelerate these <a href="https://pubmed.ncbi.nlm.nih.gov/31237442/">negative impacts</a>. As more Australians grapple with a cost-of-living crisis, a key driver of loneliness is financial hardship. <h2>Am I lonely?</h2> Loneliness is a negative feeling that arises when your <a href="https://www.gilc.global/_files/ugd/410bdf_62e236db3a7146cd9f2654877a87dbc6.pdf">social needs are not met</a> by the relationships you hold. So you can feel alone, even if you’re surrounded by others, if you’re not getting the right kind of company and support. This might mean you feel, to a certain extent, that: <ul> <li>you are not “in tune” with others</li> <li>your relationships are not meaningful</li> <li>you do not belong</li> <li>you do not have a group of friends</li> <li>no one understands you</li> <li>you do not have shared interests with others</li> <li>there is no one you can turn to.</li> </ul> Not all of these may relate to you and you may experience these in varying degrees. <h2>What drives loneliness?</h2> We <a href="https://endingloneliness.com.au/wp-content/uploads/2023/10/ELT_LNA_Report_Digital.pdf">found</a> particular communities were more at risk of persistent loneliness: <ul> <li>those aged 18 to 24</li> <li>people from culturally and linguistically diverse backgrounds</li> <li>people who were single or divorced</li> <li>those with a chronic disease</li> <li>those with mental ill health.</li> </ul> But the largest effect we found, even after we accounted for all other possible contributing factors, is the impact of financial hardship. People who face financial hardship were almost seven times more likely to report persistent loneliness, and almost five times more likely to report persistent social isolation, compared with people who did not face financial hardship. This aligns with other studies that link economic hardships to <a href="https://pubmed.ncbi.nlm.nih.gov/33241698/">poor health</a>. In <a href="https://pubmed.ncbi.nlm.nih.gov/37761396/">children from low-income backgrounds</a>, for example, their family’s economic hardship is one of the main factors that negatively impacts their physical and psychological health. In a large <a href="https://www.sciencedirect.com/science/article/pii/S0277953622004282?via%3Dihub">study</a> using the UK Biobank, people who are from a lower economic background had a higher probability of reporting loneliness. In <a href="https://pubmed.ncbi.nlm.nih.gov/37528108/">Australia</a>, when compared with people on incomes more than A$150,000, those with incomes under $80,000 were 49% more likely to experience loneliness in one year and 66% more likely to report loneliness in at least two consecutive years. <h2>Being poor affects how we interact with others</h2> Factors such as income and your living environment are some of the <a href="https://www.who.int/health-topics/social-determinants-of-health#tab=tab_1">social determinants of health</a>, which influence our health outcomes. However, to date, little has been done to examine exactly how the lack of financial resources negatively affects the way we interact with others. There are two plausible scenarios. First, having financial pressures may change the way we feel and relate to others due to higher stress levels. Second, financial pressures may stop us from socialising because we have to take on more work to earn more money or we try to cut costs to save money. Socialising can be free in some circumstances, but most of the time, there is a cost to getting to places, or doing an activity together. <h2>What can we do as a society?</h2> The <a href="https://news.gallup.com/opinion/gallup/512618/almost-quarter-world-feels-lonely.aspx">high prevalence of loneliness across the world</a> – and the growing scientific evidence of the negative impact on our health, wellbeing and productivity, and subsequently the economy – can no longer be ignored. The World Health Organization is repositioning loneliness as a global public health priority and has established a <a href="https://www.who.int/groups/commission-on-social-connection">Commission on Social Connection</a>. This commission aims to set the global agenda for social connection, work with high-level commissioners to make the case for global action, scale up proven solutions and measure progress. We need to start by building a <a href="https://lonelinessawarenessweek.com.au/wp-content/uploads/2024/08/How-can-we-create-a-culture-of-connection.pdf">culture of connection</a> in Australia. This means changing the way we make decisions on how we relate to each other, promoting social connection within our schools, workplaces and communities. And to modify policies to allow us to start and maintain healthy social connections. Health and social policies to address loneliness and social isolation have to consider the impact of low incomes and increased financial pressures as barriers to building and maintaining meaningful social connection. Related to this is urban planning. People require safe and no- or low-cost spaces to interact in and to start and maintain relationships. This includes parks, libraries, public squares, community gardens and neighbourhood houses. Cuts to building or maintaining these spaces will stop people from interacting, gathering, or socialising within their community. Not addressing loneliness effectively or quickly will lead us to persistent loneliness and to potentially more distress. <h2>How to connect if you’re financially pressured</h2> Don’t feel alone in this experience. Let your family or friends know that you are financially pressured. Chances are, they are experiencing the same pressures because of the rise in the cost of living. Select no- or low-cost activities such as walking in the park with a friend, or connecting on the phone. Look for free events offered in your local area and city. Consider having meals at home as opposed to going out, or low-cost food options. Find some digital spaces which can allow you to interact with others in shared interest topics. If someone shares they are feeling lonely, asking “is there anything I can do to help?” facilitates the conversation and lets others know you are there without judgement. <hr /> If this article has raised issues for you, or if you’re concerned about someone you know, you can call Lifeline on 13 11 14.<img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/236135/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /> <a href="https://theconversation.com/profiles/michelle-h-lim-176472">Michelle H Lim</a>, Associate Professor of Psychology, <a href="https://theconversation.com/institutions/university-of-sydney-841">University of Sydney</a> Image credits: Shutterstock This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/financial-hardship-is-the-biggest-driver-of-loneliness-heres-why-and-how-to-tackle-it-236135">original article</a>. </div>

Money & Banking

Jackie O opens up on loneliness post-divorce

Jackie 'O' Henderson has opened up on being gripped with feelings of loneliness in the years following her divorce. Speaking with fans at Luke McLeod's book launch for Everyday Enlightenment on Thursday night, the 49-year-old admitted she is "desperate" to find love and companionship. After being single for over five years, Jackie said it feels like "something's missing" in her life. "I just really want to find someone. I can't find him and I'm sort of a bit lost at the moment," she said. When Luke asked why she was so desperate to get into a relationship, Jackie said she couldn't quite put her finger on it, but it felt like "a piece" of her was "missing". "I have a lot of love to give or I want that affection, that company. It just feels like there's something missing in my life," she added. Jackie went on to tell her fans that Luke had previously given a piece of advice that "changed my life". He said she was giving off too much "desperate energy", and if she really wanted to attract love in her life, then she needed to be grateful for what she already has. "I said to him, 'How am I meant to change what I want and need? I feel like I need that in my life and I really want that. I can't just switch that off,'" she admitted. Jackie has been adopting Luke's technique, and makes time every day to express gratitude for what she already has, and not for what she's missing. 'Now I'm at a place where I've almost gone the other way. I'm so happy being single and not looking for someone because I'm genuinely happy with my life,' she said. Jackie O separated from her husband Lee Henderson in 2018 after they married in 2003, with the pair now co-parenting their daughter Kitty. Image credits: Instagram

Relationships

A guide to overcoming loneliness during the holidays

<div title="Page 1"> <div> Navigating the holiday season during adulthood isn’t always smooth sailing. Often, the arrival of the festive period can bring with it a sense of loneliness. Whether it’s being away from family or missing out on celebrations, the holiday blues can be hard to shake and for many, the significance of togetherness during the holidays can accentuate feelings of isolation or detachment. </div> <div> Offering her insight on how to overcome these emotions, Jacqui Manning, resident psychologist at Connected Women, an organisation that facilitates friendships for women over 50 shares her top tips to help you enjoy a more connected and fulfilling holiday season. </div> <div> Acknowledge Your Feelings “It’s ok to admit that you feel lonely. In fact, it’s the first step to overcoming and accepting these feelings,” explains Jacqui. “Christmas is traditionally a time that is associated with togetherness and so recognising your emotions is the foundation for developing effective coping strategies. Reach out to the friends you do have, family or support groups and let them know you might need extra support during this time. You should also invest in your mental wellbeing, either by incorporating mindfulness techniques to help break any negative thoughts or creating a mindset of gratitude by reflecting on the positive aspects of your life. Both these techniques can shift your focus towards positivity.” </div> <div> Invest in Yourself If you’re feeling down, Jacqui suggests prioritising self-care. “Investing in yourself is an act of self-love and resilience. It shifts the focus from external pressures to internal fulfilment, fostering a deep sense of empowerment. This approach is particularly valuable during the holidays, as it allows you to create a positive and nurturing environment for yourself.” Find New Connections Prevention plays an essential role in mitigating the risks of social isolation before they take hold. When it comes to combating loneliness, it’s all about identifying the connections you might be missing and actively seeking ways to build them. Jacqui explains, “In the modern-day era that we are in, recognising the potential of technology is vital. If you don’t have anyone nearby, dive into the online world to explore nearby community meetups or virtual events; I assure you, you’ll discover something that aligns with your interests, and you'll find others who are in a similar situation to you,” Jacqui concludes. </div> <div> “Whether you want to relax in a bubble bath, use the holiday season as an opportunity to discover a new hobby or simply spend more time outdoors to connect with nature, remember that these intentional acts of self-investment are gifts to your own well-being. Taking time for yourself is not only a deserved treat but a crucial element of maintaining balance and happiness.” <div title="Page 2"> As the festivities draw near, it’s essential to tune in to your own needs, invest in self-care and actively seek connection, whether with new or pre-existing relations. These steps will not only contribute to your well-being but also serve to enrich and elevate your experience throughout the festive season. About Connected Women Phoebe Adams is the co-founder of Connected Women, an organisation providing a community for women over 50 to connect and build meaningful friendships. With a rapidly growing community in Perth, Sydney, Wollongong, Melbourne and Geelong, Connected Women provides a safe and welcoming space for women to come together and share experiences. To learn more about the organisation and how you can get involved, visit <a href="https://www.connectedwomen.net" target="_blank" rel="noopener">connectedwomen.net</a>. Image credits: Getty Images </div> </div> </div>

Family & Pets

Loneliness can be twice as unhealthy as obesity in older people

A study has found that loneliness is twice as unhealthy as obesity in older people. Over six years, the study looked at the impact variables had on death rates. After tracking more than 2,000 people aged 50 and over, scientists found that people who were identified as the loneliest were nearly twice as likely to die during the study than those who were the least lonely. Compared with the average person within the study, those who were lonely had a 14 per cent higher risk of dying, which was around twice the impact obesity had on early death rates. Poverty ranked higher than loneliness with a 19 per cent increase. A separate study in 2012 found that around a fifth of older people feel lonely all the time, and a quarter of them become steadily lonelier as time went on. People reported that loneliness was the worst at weekends, and three quarters felt the effects strongly at night. In the past, loneliness has been linked to health problems like high blood pressure, and increased risk of stroke, heart attack and depression. <a href="../finance/insurance/2015/01/benefits-of-being-a-volunteer/" target="_blank" rel="noopener">Related link: The benefits of becoming a volunteer</a> John Cacioppo, a psychologist at the University of Chicago recommends thinking twice before uprooting yourself during retirement. Moving away to “greener pastures” may have certain appeals, but it can often take you away from your support network of friends and family. In the light of these studies, it follows that people need to feel involved and valued by those around them. The results also reflected that company alone was perhaps not enough. If you know someone you think might be lonely, maybe you can invite them to take part in some activities with you and your friends. Phone calls are a great way to stay in touch with people who are further away, especially if you involve someone in your life by asking them for their advice on various subjects. Pets have also been shown to be great in alleviating loneliness. And if you’re looking to interact with some new friends, you can always <a href="../forums/" target="_blank" rel="noopener">visit our forums</a>, or <a href="https://www.facebook.com/oversixtys" target="_blank" rel="noopener">Facebook page</a>. Related links: <a href="../health/wellbeing/2015/02/reasons-to-be-happy-with-you/" target="_blank" rel="noopener">5 reasons to celebrate you</a> <a href="../health/wellbeing/2015/02/why-appreciate-the-little-things/" target="_blank" rel="noopener">Why you should celebrate all the little moments</a> <a href="../health/wellbeing/2015/01/make-this-your-best-year/" target="_blank" rel="noopener">How to make this your happiest year yet</a> Image credit: Shutterstock

Mind

Why loneliness is both an individual thing and a shared result of the cities we create

If you’re feeling lonely, you’re not alone. Loneliness is an <a href="https://www.ipsos.com/en/loneliness-increase-worldwide-increase-local-community-support">increasingly common experience</a>, and it can have severe consequences. People who feel lonely are at <a href="https://doi.org/10.1007/s12160-010-9210-8">higher risk of serious health issues</a>, including heart disease, immune deficiency and depression. Traditionally, loneliness has been viewed as an individual problem requiring individual solutions, such as psychological therapy or medication. Yet loneliness is caused by feeling disconnected from society. It therefore makes sense that treatments for loneliness should focus on the things that help us make these broader connections. The places where we live, work and play, for example, can promote meaningful social interactions and help us build a sense of connection. Careful planning and management of these places can create <a href="https://www.gov.uk/government/publications/loneliness-annual-report-the-third-year/tackling-loneliness-annual-report-february-2022-the-third-year">population-wide improvements in loneliness</a>. Our research team is investigating how the way we design and plan our cities impacts loneliness. We have just published a <a href="https://authors.elsevier.com/c/1gNq14pqpjtIuw">systematic review</a> of research from around the world. Overall, we found many aspects of the built environment affect loneliness. However, no single design attribute can protect everyone against loneliness. Places can provide opportunities for social interactions, or present barriers to them. Yet every individual responds differently to these opportunities and barriers. <h2>What did the review look at?</h2> Our review involved screening over 7,000 published studies covering fields such as psychology, public health and urban planning. We included 57 studies that directly examined the relationship between loneliness and the built environment. These studies covered wide-ranging aspects from neighbourhood design, housing conditions and public spaces to transport infrastructure and natural spaces. The research shows built environments can present people with options to do the things we know help reduce loneliness. Examples include chatting to the people in your street or neighbourhood or attending a community event. However, the link between the built environment and loneliness is complex. Our review found possibilities for social interaction depend on both structural and individual factors. In other words, individual outcomes depend on what the design of a space enables a person to do as well as on whether, and how, that person takes advantage of that design. Specifically, we identified some key aspects of the built environment that can help people make connections. These include housing design, transport systems and the distribution and design of open and natural spaces. <h2>So what sort of situations are we talking about?</h2> Living in small apartments, for example can increase loneliness. <a href="https://link.springer.com/article/10.1007/s10901-020-09816-7">For some people</a>, this is because the smaller space reduces their ability to have people over for dinner. Others who live in <a href="https://doi.org/10.1017/S0144686X15000112">poorly maintained housing</a> report similar experiences. More universally, living in areas with good access to <a href="https://doi.org/10.1017/S0144686X19001569">community centres</a> and <a href="https://doi.org/10.1093/ije/dyab089">natural spaces</a> helps people make social connections. These spaces allow for both planned and unexpected social interactions. Living in environments with good access to destinations and transport options also protects against loneliness. In particular, it benefits individuals who are able to use <a href="https://doi.org/10.1093/gerona/glu069">active transport (walking and cycling) and high-quality public transport</a>. This finding should make sense to anyone who walks or takes the bus. We are then more likely to interact in some way with those around us than when locked away in the privacy of a car. Similarly, built environments <a href="https://doi.org/10.1002/jcop.21711">designed to be safe</a> — from crime, traffic and pollution — also enable people to explore their neighbourhoods easily on foot. Once again, that gives them more opportunities for social interactions that can, potentially, reduce loneliness. Environments where people are able to express themselves were also found to protect against loneliness. For example, residents of housing they could personalise and “make home” reported feeling less lonely. So too did those who felt able to “<a href="https://doi.org/10.7870/cjcmh-2002-0010">fit in</a>”, or identify with the people living close by. <h2>Other important factors are less obvious</h2> These factors are fairly well defined, but we also found less tangible conditions could be significant. For example, studies consistently showed the importance of socio-economic status. The interplay between economic inequalities and the built environment can deny many the right to live a life without loneliness. For example, <a href="https://doi.org/10.1080/19491247.2021.1940686">housing tenure</a> can be important because people who rent are less able to personalise their homes. People with lower incomes can’t always afford to <a href="https://doi.org/10.1177/1440783320960527">live close to friends</a> or in a neighbourhood where they feel accepted. Lower-income areas are also notoriously under-serviced with <a href="https://doi.org/10.1016/j.jtrangeo.2020.102869">reliable public transport</a>, <a href="https://link.springer.com/article/10.1186/1471-2458-14-292">well-maintained natural spaces</a> and <a href="https://doi.org/10.1016/j.healthplace.2007.11.002">well-designed public spaces</a>. Our review reveals several aspects of the built environment that can enhance social interactions and minimise loneliness. Our key finding, though, is that there is no single built environment that is universally “good” or “bad” for loneliness. Yes, we can plan and build our cities to help us meet our innate need for social connection. But context matters, and different individuals will interpret built environments differently. Image credits: Getty Images This article originally appeared on <a href="https://theconversation.com/why-loneliness-is-both-an-individual-thing-and-a-shared-result-of-the-cities-we-create-198069" target="_blank" rel="noopener">The Conversation</a>.

Caring

Combating loneliness: How to meet new friends

Many of us will feel lonely at some point in our lives. It’s that sadness that comes from being by yourself or feeling disconnected from the people around you. For some it’s fleeting, for others it becomes entrenched and damaging. Several recent studies indicate loneliness is set to reach epidemic proportions by 2030. Experts say it’s as bad for us as smoking 15 cigarettes a day. Britain has even appointed a minister for loneliness. A <a href="https://www.jocoxloneliness.org/pdf/a_call_to_action.pdf">report published by the Jo Cox Commission</a> showed nine million people “always or often feel lonely” and 200,000 older people in the UK have not had a conversation with a friend or relative in more than a month. Here at home, we have the <a href="http://endloneliness.com.au/">Australian Coalition to End Loneliness (ACEL)</a>. Inspired by the work of the <a href="https://www.campaigntoendloneliness.org/">UK’s Campaign to End Loneliness</a>, the ACEL aims to address loneliness in Australia. The good news is that feeling lonely is nothing to be ashamed of – the research is clear that millions of people are in the same boat. “Being connected to others socially is widely considered a fundamental human need,” says one of the most prominent researchers in the field, Julianne Holt-Lunstad, PhD, professor of psychology at Brigham Young University in the United States. “It is crucial to both wellbeing and survival.” “Help, I’m lonely!" A community member recently asked if we have any suggestions on how to overcome loneliness. “I'm a young 50s and love doing things but I'm lonely. I have lost close friends due to them moving away. I have lost the contact with people. I think I'm a loner – help me. What groups could I join to meet people?” Here are some ideas for meeting new friends: 1. Volunteering Volunteering is all about helping others, but it also benefits you personally – it offers the chance to make new friends, try a different career field, and explore your local area. Organisations that help refugees, the homeless, people with disabilities, disadvantaged youths or the elderly are numerous. Such organisations include <a href="http://mealsonwheels.org.au/">Meals on Wheels</a>, <a href="https://www.thesmithfamily.com.au/">The Smith Family</a>, <a href="http://www.salvationarmy.org.au/">The Salvation Army</a>, <a href="https://youthoffthestreets.com.au/">Youth Off The Streets</a>, <a href="https://www.midnightbasketball.org.au/">Midnight Basketball Australia</a>, <a href="https://www.sacredheartmission.org/">Sacred Heart Mission</a>, <a href="https://www.blackdoginstitute.org.au/">Black Dog Institute</a>, <a href="http://guidedogsaustralia.com/">Guide Dogs Australia</a>, and <a href="https://www.lifeline.org.au/">Lifeline Australia</a>. The State Emergency Service (SES) in your state and <a href="http://stjohn.org.au/">St John Ambulance Australia</a> often put a callout for volunteers. Wildlife rescue groups, such as <a href="https://www.wires.org.au/">WIRES </a>in NSW, and animal welfare organisations like the <a href="https://rspca.org.au/">RSPCA</a>, always appreciate an extra pair of hands – check the parks and wildlife service in your state. The NSW National Parks and Wildlife Service, for example, is seeking volunteers for historic and cultural heritage tours, and for their threatened species and bush regeneration programs. If you enjoy working in customer service, try the local <a href="https://shop.oxfam.org.au/volunteer">Oxfam Shop</a>, <a href="https://www.redcross.org.au/get-involved/connect/volunteer">Red Cross</a> or <a href="https://www.savethechildren.org.au/take-action/volunteer">Save the Children op shop</a>. Libraries need volunteers to help with stocktake to maintain the toy library and to deliver books to library customers. For music lovers, community radio stations are often run by volunteers – you might even have the chance to host your own show. Major events also provide exciting opportunities for volunteers, so keep an eye out for big events that are coming to your town or city. Film, music and fashion festivals are often looking for volunteers. For more information, contact your local council or visit <a href="http://www.volunteering.org.au/">Volunteering Australia</a>. 2. Fitness classes If you’re into group exercise, you have a potential social network right in front of you. Try golf, tennis, dragon boat racing, rowing, squash, salsa classes, ballroom dancing, badminton, ocean swimming, sailing, aqua aerobics or yoga — or find a walking group via the <a href="http://walking.heartfoundation.org.au/">Heart Foundation Walking network</a>. 3. Hobbies Do you like gardening, films, model airplane flying, bird watching, photography, chess, creative writing, clay target shooting, knitting, bridge, quilting, cooking or reading? Look in your local area for groups, clubs or classes that you could join. Car fanatics could join a club, such as a classic car club. For motorcyclists, the <a href="http://www.ulyssesclub.org/">Ulysses Club</a> is a social group for people aged over 40 years. Its motto is “grow old disgracefully”. For the community or politically minded, you could attend local council meetings. And don’t forget your local <a href="https://mensshed.org/">Men’s Shed</a>, which provides a space to work on practical projects while enjoying some good old-fashioned mateship. 4. Faith-based groups Churches and religious organisations tend to host a lot of social gatherings outside of their regular services, offering golden opportunities to meet people with similar beliefs. 5. Virtual spaces Facebook, Instagram and other social networks can be used as a way to connect with old friends, make new ones, and keep up with what’s happening in your community. If you want to learn more about computers or social media, ask at your local library or visit a local computer club. The <a href="http://www.ascca.org.au/">Australian Seniors Computer Clubs Association</a> lists over 130 clubs for older Australians – one might be in your area. 6. Meetups <a href="http://www.meetup.com/">Meetup.com</a> is a nifty site that offers users the chance to join groups, known as Meetups, based on their location and interests. Examples of groups you can join include “Monopoly Players”, “More Bakeries Than Cycling Touring Club”, “Women’s Social Club”, and “French Movie Group”. If you can’t find a group that interests you, create your own! 7. Online dating The major online dating sites are <a href="https://www.rsvp.com.au/">RSVP</a>, <a href="https://www.eharmony.com.au/">eHarmony</a>, <a href="https://au.match.com/">Match</a>, <a href="https://www.oasisactive.com/">Oasis Active</a>, <a href="https://www.pof.com/">Plenty of Fish (POF)</a>, <a href="https://www.zoosk.com/">Zoosk</a> and <a href="https://tinder.com/">Tinder</a>. A good place to start might be with eHarmony, as it caters for a large number of older users. Billed as “Australia’s most trusted online dating site”, it offers specific dating advice for seniors. Of course, there are scams out there, so keep your wits about you. 8. Lions and Rotary Clubs <a href="http://lionsclubs.org.au/">Lions </a>and <a href="http://rotaryaustralia.org.au/">Rotary </a>do a lot of good in their local communities and further afield. Lions’ motto is “where there’s a need, there’s a Lion”. Rotary is made up of members “who strive to make the world a better place”. 9. Returning to work Working doesn’t have to be about the money. If you are in need of an outlet for mingling, going back to work could be the answer. Perhaps you could ask your former workplace about casual work or approach your local Bunnings Warehouse – the hardware chain encourages older workers back in to the workforce. Former teachers might register for substitute teaching and pet lovers could advertise pet sitting or walking services. If you love weddings, why not become a marriage celebrant? Adore children? Ask parents you know if they need babysitting or someone to pick their kids up after school. Crafty? How about a market stall? Too many veggies in the garden? Try selling them at a farmer’s market. A spare bungalow, caravan or room could be decorated and listed on <a href="https://www.airbnb.com/">Airbnb</a>. Other ideas include freelance writing, consulting or selling your photos on a microstock site such as <a href="https://www.gettyimages.com/">Getty Images</a>. 10. Pets They are known as man’s best friend but having a dog can help you socialise more with people. A study by the University of Western Australia found “pet owners were significantly more likely to get to know people in their neighbourhood whom they didn’t know previously, compared with non-pet owners”. Published in PLOS ONE, <a href="http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0122085">The Pet Factor – Companion Animals as a Conduit for Getting to Know People, Friendship Formation and Social Support</a> concluded that dog owners were more likely to get to know people in their community than owners of other pets, such as cats or birds. 11. Reconnecting with old friends Make a list of people that you remember fondly and reach out to them by phone, email or Facebook. If they live nearby, invite them out for coffee, and if they are interstate or overseas, send a short email – who knows, one day you might take a trip and meet up with them. Don’t assume old friends have forgotten about you just because they haven’t been in touch – they may have been juggling work and parenting in their 30s and 40s, making it hard to stay in touch. Most likely, they will be pleased to hear from you. What have you done to combat feeling lonely? Share you experiences and ideas below. Written by Leah McLennan. Republished with permission of <a href="https://www.wyza.com.au/articles/lifestyle/wyza-life/combating-loneliness-how-to-meet-new-friends.aspx">Wyza.com.au</a>. Image: Getty

Retirement Life

E.T. the Extra-Terrestrial at 40 – a deep meditation on loneliness, and Spielberg’s most exhilarating film

40 years ago this month saw the release of Steven Spielberg’s <a href="https://www.imdb.com/title/tt0083866/" target="_blank" rel="noopener">E.T. the Extra-Terrestrial</a> – a film about a stranded alien, the boy called Elliott who discovers it and a bond of friendship that remains as magical and heartbreaking as it did back in 1982. We think of Spielberg movies today as thrilling roller-coaster rides, full of sharks, dinosaurs and swashbuckling archaeologists. Yet for me, E.T. remains Spielberg’s most exhilarating work: a deep meditation on loneliness, friendship and growing up in small-town America. Aided by John Williams’s Oscar-winning score and Henry Thomas and Drew Barrymore’s touching performances, E.T. feels both of its time and for all time. As Spielberg <a href="https://www.contactmusic.com/pages/et2x21x03x02" target="_blank" rel="noopener">once said</a>: I think that E.T. is for the people we are, the people we have been and the people we want to be again. <h2>A child in need of a friend</h2> After the breathless trio of Jaws (1975), Close Encounters of the Third Kind (1977) and Raiders of the Lost Ark (1981), Spielberg wanted to make a more intimate film about his isolated childhood in suburban Arizona <a href="https://www.independent.co.uk/arts-entertainment/films/news/steven-spielberg-et-divorce-parents-anniversary-b2063879.html" target="_blank" rel="noopener">as he came to terms</a> with the divorce of his parents. At the same time, he had commissioned a script about a suburban family terrorised by a group of aliens with one befriending the family’s son. The DNA of both stories would make their way into this film. Like Spielberg, Elliott is a loner. He’s not playing sport, or going out with girls or getting into trouble. He is introverted and thoughtful. And in need of company. One of Spielberg’s great underrated talents is his direction of children. Many of his films feature young children at their centre – think The BFG (2016), A.I. (2001) and War Horse (2011). In E.T., Henry Thomas and Drew Barrymore as brother and sister Elliott and Gertie bring credibility and pathos to their roles, fitting seamlessly into the southern Californian ‘burb culture recreated so fondly by the director. Spielberg’s grasp of childlike wonder is everywhere: notice how he shoots from the children’s eye level and shows adults only from the waist down. For the first time in his career, Spielberg rejected storyboards and <a href="https://ascmag.com/articles/spielberg-et-the-extraterrestrial" target="_blank" rel="noopener">shot scenes chronologically</a>, allowing Thomas and Barrymore time and space to improvise. The domestic and school scenes (hiding E.T. from the mother, tempting it into the house with Reese’s Pieces, freeing frogs destined for dissection) all feel more real because of this. <h2>And what of our alien?</h2> Before E.T., Hollywood saw aliens as hostile critters intent on planetary carnage. The recent extra-terrestrials in Alien (1979) and The Thing (1982) had caused havoc and trauma. E.T. is different: partly modelled on the facial features of Albert Einstein, it is inquisitive, thoughtful, funny. In the delightful Halloween scene, Elliott throws a white sheet over it as a disguise, and E.T. suddenly spots a child dressed up as Yoda, excitedly repeating “Home! Home!”. From this moment, Hollywood realised the marketing potential of “cute aliens”; whether Ewoks, Grogu or Toy Story’s “Little Green Men”. It is small wonder that Variety <a href="https://variety.com/1982/film/reviews/e-t-the-extra-terrestrial-1200425287/" target="_blank" rel="noopener">praised</a> E.T. as the “best Disney film Disney never made”. The alien plays another role too: it fills the void of the absent father. Paternal lack and the strains it places on families is a familiar trope in Spielberg’s films, from Jurassic Park (1993) to Catch Me If You Can (2002) to Indiana Jones and the Last Crusade (1989). All we know is that Elliott’s father is “in Mexico, with Sally”: left behind is a stressed mother and bickering siblings. Some contend that E.T. is a <a href="https://www.jstor.org/stable/4239568?seq=1" target="_blank" rel="noopener">modern-day fairy tale</a> or <a href="https://www.nytimes.com/1982/08/15/movies/l-film-mailbag-is-et-a-religious-parable-073792.html" target="_blank" rel="noopener">a Christian parable</a>. For others, it is an illustration of “<a href="https://edoc.hu-berlin.de/bitstream/handle/18452/23096/9783631837801%20%E2%80%93%20Echoes%20of%20Reaganism%20in%20Hollywood%20Blockbuster%20Movies%20from%20the%201980s%20to%20the%202010s.pdf?sequence=1&isAllowed=y" target="_blank" rel="noopener">Reaganite entertainment</a>”, upholding the sanctity of the nuclear family but distrustful of bureaucratic interference and governmental surveillance. <h2>Spielberg at his best</h2> E.T. earned US$800 million at the box office. Adjusted for inflation, four decades on, that is still the <a href="https://en.wikipedia.org/wiki/List_of_highest-grossing_films_in_the_United_States_and_Canada#Adjusted_for_ticket-price_inflation" target="_blank" rel="noopener">fourth highest grossing</a> movie ever. For some naysayers, its success was further evidence of the special effects-laden, high-concept spectacle film that was beginning to reign in mainstream film culture. But I think E.T. is much more than that: it is a movie with a heart. The special effects are minimal. What counts is the story, and the boy and his friend. Spielberg’s films are to this day <a href="https://www.indiewire.com/2011/12/critics-notebook-putting-steven-spielberg-on-trial-50244/" target="_blank" rel="noopener">criticised</a> as mawkish and overly sentimental, deliberately engineered to cynically manipulate our emotions. Not so in E.T.: the pleasure is genuine and the tears are earned. E.T. became a pop culture phenomenon. The shot of Elliott and E.T. on a bike, flying across the moon, remains an iconic image. “Phone home” has become part of our lexicon. Its message of peaceful coexistence between creatures from different worlds today seems more appropriate than ever. Aliens stranded on earth are a staple of contemporary cinema, from Under the Skin (2013) to The Iron Giant (1999). And Netflix’s current global hit Stranger Things contains a treasure trove of E.T.’s visual references. Spielberg may have made bigger, louder films, and more historically profound ones, but E.T. endures as his best. This article originally appeared on <a href="https://theconversation.com/e-t-the-extra-terrestrial-at-40-a-deep-meditation-on-loneliness-and-spielbergs-most-exhilarating-film-183985" target="_blank" rel="noopener">The Conversation</a>. Image: Shutterstock

Movies

What’s taking the biggest toll on our mental health?

The new Labor government arrives at a time of mounting mental health strain: Australians have endured COVID, extreme weather events and financial stress from increased living costs. The new government has a lot to fix in the mental health system but policy priorities should be guided by the voices of Australians. To learn more about the nation’s priority mental health concerns, our <a href="https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0268824" target="_blank" rel="noopener">new research</a> surveyed more than 1,000 adults aged 18 to 85 across the nation. Without being prompted, participants consistently highlighted three major issues: the mental health service system, financial stress, and social disconnection. A strained mental health system The COVID pandemic added pressure to an already <a href="https://www.pc.gov.au/news-media/speeches/mental-health" target="_blank" rel="noopener">strained mental health-care system</a>. Countless Australians – many experiencing mental ill-health for the first time – were left without appropriate support. Participants described overwhelming barriers to accessing treatment, including high costs, wait-lists and inaccessibility: <blockquote> The out of pocket expense makes receiving regular, effective psychological treatment prohibitive, especially as a single parent. – female, late 30s, NSW When people are in crisis, they need the help at that time. Not six months down the track when an opening finally becomes available at the counselling centre. – non-binary person, early 70s, Tasmania </blockquote> Financial stress Respondents shared how the pandemic “pressurised” other mental health triggers, like financial stress, as JobKeeper and the Coronavirus Supplement were wound back and cost of living increased. A NSW woman in her late-20s living with a disability shared that prior to receiving the Coronavirus Supplement: “I felt it would be better to kill myself than try and make it work”, but with the supplement, “For the first time in years money wasn’t so tight.” The removal of the supplement was described by another as: <blockquote> crushing and damaging to your mental health – female, late 20s, Tasmania </blockquote> The low payment amount after the supplement was removed was not seen as “sufficient income to live a ‘reasonable life’”. <figure class="align-center "><img src="https://images.theconversation.com/files/467066/original/file-20220606-58478-ztwpxb.jpg?ixlib=rb-1.1.0&q=45&auto=format&w=754&fit=clip" sizes="(min-width: 1466px) 754px, (max-width: 599px) 100vw, (min-width: 600px) 600px, 237px" srcset="https://images.theconversation.com/files/467066/original/file-20220606-58478-ztwpxb.jpg?ixlib=rb-1.1.0&q=45&auto=format&w=600&h=400&fit=crop&dpr=1 600w, https://images.theconversation.com/files/467066/original/file-20220606-58478-ztwpxb.jpg?ixlib=rb-1.1.0&q=30&auto=format&w=600&h=400&fit=crop&dpr=2 1200w, https://images.theconversation.com/files/467066/original/file-20220606-58478-ztwpxb.jpg?ixlib=rb-1.1.0&q=15&auto=format&w=600&h=400&fit=crop&dpr=3 1800w, https://images.theconversation.com/files/467066/original/file-20220606-58478-ztwpxb.jpg?ixlib=rb-1.1.0&q=45&auto=format&w=754&h=503&fit=crop&dpr=1 754w, https://images.theconversation.com/files/467066/original/file-20220606-58478-ztwpxb.jpg?ixlib=rb-1.1.0&q=30&auto=format&w=754&h=503&fit=crop&dpr=2 1508w, https://images.theconversation.com/files/467066/original/file-20220606-58478-ztwpxb.jpg?ixlib=rb-1.1.0&q=15&auto=format&w=754&h=503&fit=crop&dpr=3 2262w" alt="Person wringing their hands" /><figcaption>Cost of living pressures have had a significant impact on Australians’ mental health. <a class="source" href="https://unsplash.com/photos/qbTC7ZwJB64" target="_blank" rel="noopener">Unsplash/Ümit Bulut</a></figcaption></figure> Together, the stress of low incomes and the return of demanding mutual obligation requirements for JobSeeker (the <a href="https://www.acoss.org.au/media_release/acoss-analysis-shows-mutual-obligation-requirements-are-causing-harm/" target="_blank" rel="noopener">often-unrealistic</a> set of job-related tasks which recipients must undertake to keep receiving payments) worsened some peoples’ mental health, making recovery difficult. <blockquote> The social welfare system isn’t equipped to support those of us who struggle to work because of mental health issues. I cry every day at my full-time job and would like to focus on recovery, but the tiny rate of Centrelink payments means I keep struggling through – female, early 30s, Victoria </blockquote> With increasing living costs, a NSW man in his late 20s reported “stressing about having money to make ends meet […] the cost of food going up, and not having money to heat my home in winter”. He described making difficult financial decisions like choosing to “not eat” in favour of “making sure my dog is fed”. Many spoke of financial stress in relation to housing as a key priority for their mental health, particularly “unaffordable housing prices” (female, early 30s, NSW) and “prohibitive rent” (female, late 60s, Victoria). Social disconnection Many described a lack of social and community connection as a mental health priority, perhaps unsurprising with COVID lockdowns and strict border controls. Some felt this was linked to a lack of physical spaces for socialising: <blockquote> We need facilities for people and communities to socialise in a healthy environment. Get rid of the poker machines and make pubs a place where people can openly socialise again – male, late 40s, NSW </blockquote> Others sensed a broader cultural shift away from valuing community: <blockquote> We need supportive communities […] We are too ‘private’ don’t share our troubles, don’t ask for help – female, late 40s, NSW [S]ociety has become very individually focused and less about support – male, late 40s, Victoria. </blockquote> Building resilience The voices of diverse Australians included in <a href="https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0268824" target="_blank" rel="noopener">our study</a> provide clear guidance for the government to build a more resilient and mentally healthy future. Labor’s election promise to re-instate the <a href="https://www.alp.org.au/policies/regional-mental-telehealth-services" target="_blank" rel="noopener">telepsychiatry Medicare item</a> in regional and rural areas is important, but the government must address other pressing service issues, including long wait-times and high costs. The government also needs to address the causes of mental ill-health, such as financial insecurity and social disconnection. While Labor has promised to tackle <a href="https://www.alp.org.au/policies/secure-australian-jobs-plan" target="_blank" rel="noopener">job security</a> and <a href="https://www.alp.org.au/policies/safer-and-more-affordable-housing" target="_blank" rel="noopener">housing affordability</a>, it didn’t back an increase to income support benefits. This should be revisited. In 2021, <a href="https://alp.org.au/media/2594/2021-alp-national-platform-final-endorsed-platform.pdf" target="_blank" rel="noopener">Labor</a> committed to addressing loneliness and social isolation, although no related election promises were made. Doing so would require changes outside the “health” portfolio. We need a whole-of-government <a href="https://mentalhealththinktank.org.au/wp-content/uploads/2022/04/BuildingMentallyHealthyFutures_YouthRecoveryPlan.pdf" target="_blank" rel="noopener">social and emotional well-being lens</a> on all federal policies. Finally, our study highlighted that drivers of poor mental health are further strained in disaster settings, such as pandemics or extreme weather events. As the Labor government develops its <a href="https://www.alp.org.au/policies/disaster-readiness" target="_blank" rel="noopener">disaster readiness plan</a>, mental health impacts – in addition to economic and infrastructure impacts – must be a key consideration. If this article has raised issues for you, or if you’re concerned about someone you know, call Lifeline on 13 11 14.<img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/184148/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /> <a href="https://theconversation.com/profiles/marlee-bower-1000885" target="_blank" rel="noopener">Marlee Bower</a>, Research Fellow, Matilda Centre for Research in Mental Health and Substance Use, <a href="https://theconversation.com/institutions/university-of-sydney-841" target="_blank" rel="noopener">University of Sydney</a>; <a href="https://theconversation.com/profiles/maree-teesson-1274573" target="_blank" rel="noopener">Maree Teesson</a>, Professor & Director of The Matilda Centre. Chair, Australia's Mental Health Think Tank, <a href="https://theconversation.com/institutions/university-of-sydney-841" target="_blank" rel="noopener">University of Sydney</a>, and <a href="https://theconversation.com/profiles/scarlett-smout-1350860" target="_blank" rel="noopener">Scarlett Smout</a>, PhD Candidate and Research Program Officer at The Matilda Centre for Research in Mental Health & Substance Use and Australia's Mental Health Think Tank, <a href="https://theconversation.com/institutions/university-of-sydney-841" target="_blank" rel="noopener">University of Sydney</a> This article is republished from <a href="https://theconversation.com" target="_blank" rel="noopener">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/whats-taking-the-biggest-toll-on-our-mental-health-disconnection-financial-stress-and-long-waits-for-care-184148" target="_blank" rel="noopener">original article</a>. Image: Getty Images

Mind

The brain knows when we’re feeling lonely

<div>Loneliness isn’t just a feeling; it appears to deeply affect our brain networks. When nobody is around, our imagination might fill the void. Researchers led by Nathan Spreng from Canada’s McGill University have found that lonely brains have a distinct wiring of neural networks that form a “signature” of loneliness.This signature is strongest in the brain regions linked to remembering and imagining – called the default network – and this suggests that loneliness makes us reminisce and imagine happy times or loved ones more, to ease the social void.Loneliness is estimated to affect up to 20% of adults, and is closely related to hypertension, immune dysfunction and even early death. It is also a major risk in older people, as it can lead to cognitive decline and dementia for currently unknown reasons.“We are just beginning to understand the impact of loneliness on the brain. Expanding our knowledge in this area will help us to better appreciate the urgency of reducing loneliness in today’s society,” says Danilo Bzdok, co-author of a <a href="https://www.nature.com/articles/s41467-020-20039-w" target="_blank" rel="noreferrer noopener">paper</a> in Nature Communications.The team used machine learning to compare genetics and MRI scans of the brains of 40,00 middle-aged adults with self-assessed loneliness. They found that the self-proclaimed lonely brain activity centred around the brain regions that focused on future planning, imagining, reminiscing and thinking about other people.The nerve fibres that carry signals to the hippocampus during this processing were better preserved in lonely people.Potentially, this happens because lonely people must rely on memories and imagination instead of social interaction to fill their social needs, so the imagination part of the brain gets more of a workout. “In the absence of desired social experiences, lonely individuals may be biased towards internally-directed thoughts such as reminiscing or imagining social experiences. We know these cognitive abilities are mediated by the default network brain regions,” says Spreng.“So this heightened focus on self-reflection, and possibly imagined social experiences, would naturally engage the memory-based functions of the default network.”Interestingly, there was also a small difference between men and women. They found that men had a more prominent association between brain structure and loneliness, so there may be slight variation between sexes.However, they also note that this might be due to social stigma against men reporting loneliness and urge further research.Image credits: Getty Images</div><div id="contributors">This article was originally published on <a href="https://cosmosmagazine.com/health/the-brain-knows-when-were-feeling-lonely/" target="_blank" rel="noopener">cosmosmagazine.com</a> and was written by Deborah Devis. </div>

Mind

Feeling lonelier during Covid? A lack of physical touch could be to blame

With COVID-19 restrictions making us stay 1.5 metres away from others or relying on technology to see friends and loved ones, it’s unsurprising that we are feeling lonelier than before. But new international research has found that a lack of physical touch can have negative impacts on mental health and feelings of loneliness. The team conducted an online study of 1746 people during the first wave of lockdowns in early 2020. The survey included questions asking participants about their intimate, friendly, and professional touch experiences before and during COVID-19 restrictions, as well as self-reported measures about their wellbeing. They found that those who experienced more intimate touch in the week before the study reported lower levels of anxiety and feelings of loneliness. For those who reported a lack of intimate touch, they also reported increased levels of anxiety and greater feelings of loneliness. They also found that intimate touch was the type of touch most craved by participants. Since physical touch is an important aspect of intimate and romantic relationships, with previous work suggesting that touch can buffer feelings of social isolation, the researchers argue that it is especially important during times of distress, such as during the pandemic. The team also suggested that physical and intimate touch may work as a “protective factor” against common reactions to the pandemic, such as anxiety, stress, and depression. What we can do about it Though we still can’t touch or hug others, staying connected can still protect us from feeling lonely. Video conferencing technology has boomed as a result of the pandemic, but switching to alternative methods of keeping in contact can help you stay in touch without encountering as much ‘Zoom fatigue’. This could look like switching to phone calls and texts, sending voice notes, or penning letters to your loved ones. In times of distress, it is important to fend off social isolation, even if it can’t be done through physical touch. The study was published in <a rel="noopener" href="https://doi.org/10.1098/rsos.210287" target="_blank">Royal Society Open Science</a>. Image: Getty Images

Mind

How to stay connected during lockdown

The physical distance caused by the COVID-19 pandemic has been tough on many people. With millions of people around the world isolated from their loved ones, technology has become the key to staying in touch. Research has proven that this distance has had extreme mental and physical effects within elderly populations, with an overwhelming sense of loneliness troubling many individuals. The US National Academies of Sciences, Engineering, and Medicine said in a publication in 2020 that social isolation risks a 50 percent associated increase in dementia, as well as a 29 percent risk of heart disease and a 32 percent increased risk of stroke. Geriatrician Laurie Archbald-Pannone spoke to The Conversation and offered several tips for seniors to stay socially connected during periods of isolation. “Stay in touch with the people close to you, especially those who are social distancing too,” she wrote. “The CDC recommends that communities create ‘buddy systems’ to make sure vulnerable and hard-to-reach people stay connected, particularly to news about COVID-19.” Local and state governments have also introduced various programs and systems to help their local communities stay connected and engage with each other. The Victorian government introduced the Coronavirus Support for Multicultural Seniors grants program, providing up to $2000 in funding to multicultural seniors’ groups during the pandemic. This program provides assistance to support vulnerable individuals, and build strong connections with communities during a difficult time. The federal Department of Social Services is offering its ‘Seniors Connected Program’, designed to address loneliness and social isolation experienced by older Australians aged over 55 living in the community. These initiatives have been a global effort, with each country finding their own ways to help their elderly citizens stay connected through technology. Image credit: Shutterstock

Technology

Loneliness changes our brains

Whether we are isolated due to COVID-19 lockdowns or any other reason, feeling lonely is a common response which can affect our brains. Research published in <a rel="noopener" href="https://www.nature.com/articles/s41467-020-20039-w" target="_blank">Nature Communications</a> has found that the brains of those who report feeling lonely look and respond differently to the brains of people who don’t. It seems like persistent feelings of isolation can affect the size of different areas of the brain, as well as how those areas communicate with the rest of the brain. The researchers examined the magnetic resonance imaging (MRI) data, genetics, and psychological self-assessments of approximately 40,000 middle-aged and older adults available in the UK Biobank: a database available to scientists around the world. In comparing the data of participants who reported feeling lonely against those who didn’t, scientists have found several differences in the brains of the lonely. These differences are centered around a set of brain regions called the default network. These regions are involved in reminiscing, planning the future, imagination, and thinking about others, and we use this network to remember the past, envision the future, and think about the hypothetical present. The brains of lonely participants were found to have default networks that were more strongly networked and contained a larger volume of grey matter. This may be due to lonely people being more likely to use their imagination, past memories, or future hopes to overcome their social isolation. “In the absence of desired social experiences, lonely individuals may be biased towards internally-directed thoughts such as reminiscing or imagining social experiences,” said lead author Nathan Spreng from the Neuro (Montreal Neurological Institute-Hospital) at Canada’s MacGill University. <blockquote style="background: #FFF; border: 0; border-radius: 3px; box-shadow: 0 0 1px 0 rgba(0,0,0,0.5),0 1px 10px 0 rgba(0,0,0,0.15); margin: 1px; max-width: 540px; min-width: 326px; padding: 0; width: calc(100% - 2px);" class="instagram-media" data-instgrm-captioned="" data-instgrm-permalink="https://www.instagram.com/p/CI0fP8wA5W6/?utm_source=ig_embed&utm_campaign=loading" data-instgrm-version="13"> <div style="padding: 16px;"> <div style="display: flex; flex-direction: row; align-items: center;"> <div style="background-color: #f4f4f4; border-radius: 50%; flex-grow: 0; height: 40px; margin-right: 14px; width: 40px;"></div> <div style="display: flex; flex-direction: column; flex-grow: 1; justify-content: center;"> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; margin-bottom: 6px; width: 100px;"></div> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; width: 60px;"></div> </div> </div> <div style="padding: 19% 0;"></div> <div style="display: block; height: 50px; margin: 0 auto 12px; width: 50px;"></div> <div style="padding-top: 8px;"> <div style="color: #3897f0; font-family: Arial,sans-serif; font-size: 14px; font-style: normal; font-weight: 550; line-height: 18px;">View this post on Instagram</div> </div> <p style="color: #c9c8cd; font-family: Arial,sans-serif; font-size: 14px; line-height: 17px; margin-bottom: 0; margin-top: 8px; overflow: hidden; padding: 8px 0 7px; text-align: center; text-overflow: ellipsis; white-space: nowrap;"><a style="color: #c9c8cd; font-family: Arial,sans-serif; font-size: 14px; font-style: normal; font-weight: normal; line-height: 17px; text-decoration: none;" rel="noopener" href="https://www.instagram.com/p/CI0fP8wA5W6/?utm_source=ig_embed&utm_campaign=loading" target="_blank">A post shared by The Neuro (@theneuro_mni)</a> </div> </blockquote> Loneliness has been identified as a growing health problem, with previous studies showing that older people experiencing loneliness have a higher risk of cognitive decline and dementia. “We are just beginning to understand the impact of loneliness on the brain,” said Danilo Bzdok, a researcher at the Neuro and the study’s senior author. “Expanding our knowledge in this area will help us better appreciate the urgency of reducing loneliness in today’s society.”

Mind

Betty White opens up about loneliness while in quarantine

<div class="post_body_wrapper"> <div class="post_body"> <div class="body_text redactor-styles redactor-in element-type-p"> Betty White's agent Jeff Witjas has said that White is ready for some face-to-face interaction after a safe year at home. White, 99, has been isolating at home due to the coronavirus pandemic and keeping busy by "reading, watching TV and doing crossword puzzles at home", according to <a rel="noopener" href="https://www.tmz.com/2021/05/11/betty-white-keeps-busy-quarantine-covid-update-summer/" target="_blank">TMZ</a>. This doesn't mean White isn't counting down the days until she's able to safely interact with friends. Witjas confirmed that White's "ability to regularly interact with friends face to face," during the pandemic has "severely affected in her life," explaining that like many, she's "looking forward to summer when she can safely enjoy the outdoors and regain her freedom." <blockquote style="background: #FFF; border: 0; border-radius: 3px; box-shadow: 0 0 1px 0 rgba(0,0,0,0.5),0 1px 10px 0 rgba(0,0,0,0.15); margin: 1px; max-width: 540px; min-width: 326px; padding: 0; width: calc(100% - 2px);" class="instagram-media" data-instgrm-captioned="" data-instgrm-permalink="https://www.instagram.com/p/CLSXVN2nVmF/?utm_source=ig_embed&utm_campaign=loading" data-instgrm-version="13"> <div style="padding: 16px;"> <div style="display: flex; flex-direction: row; align-items: center;"> <div style="background-color: #f4f4f4; border-radius: 50%; flex-grow: 0; height: 40px; margin-right: 14px; width: 40px;"></div> <div style="display: flex; flex-direction: column; flex-grow: 1; justify-content: center;"> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; margin-bottom: 6px; width: 100px;"></div> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; width: 60px;"></div> </div> </div> <div style="padding: 19% 0;"></div> <div style="display: block; height: 50px; margin: 0 auto 12px; width: 50px;"></div> <div style="padding-top: 8px;"> <div style="color: #3897f0; font-family: Arial,sans-serif; font-size: 14px; font-style: normal; font-weight: 550; line-height: 18px;">View this post on Instagram</div> </div> <p style="color: #c9c8cd; font-family: Arial,sans-serif; font-size: 14px; line-height: 17px; margin-bottom: 0; margin-top: 8px; overflow: hidden; padding: 8px 0 7px; text-align: center; text-overflow: ellipsis; white-space: nowrap;"><a style="color: #c9c8cd; font-family: Arial,sans-serif; font-size: 14px; font-style: normal; font-weight: normal; line-height: 17px; text-decoration: none;" rel="noopener" href="https://www.instagram.com/p/CLSXVN2nVmF/?utm_source=ig_embed&utm_campaign=loading" target="_blank">A post shared by Betty White (@bettymwhite)</a> </div> </blockquote> Despite being an animal lover, White hasn't had any furry friends to keep her company but has said there are a few ducks that keep her company that "walk up to her door every day to say hello". Wijtas declined on commenting whether or not White had been vaccinated. </div> </div> </div>

Movies

Nicole Kidman said husband Keith Urban saved her from the "great killer" of loneliness

Nicole Kidman has praised her husband Keith Urban from keeping her from loneliness during the coronavirus pandemic. The Undoing actress praised him in a recent interview with <a rel="noopener" href="https://redirect.viglink.com/?format=go&jsonp=vglnk_160617672419810&key=e5200498106ac69367fbfbf8b5361be3&libId=khv6vh6e0102kn81000DAbbr2cdm6ros2&loc=https%3A%2F%2Fwww.etonline.com%2Fnicole-kidman-on-parenting-in-lockdown-and-how-keith-urban-saved-her-from-the-great-killer-of%3Futm_source%3Dfeedburner%26utm_medium%3Dfeed%26utm_campaign%3DFeed%253A%2BETTopStories%2B%2528Entertainment%2BTonight%253A%2BBreaking%2BNews%2529&v=1&out=https%3A%2F%2Fwww.glamourmagazine.co.uk%2Farticle%2Fnicole-kidman-glamour-cover-interview-2020https%3A%2F%2Fwww.glamourmagazine.co.uk%2Farticle%2Fnicole-kidman-glamour-cover-interview-2020&title=Nicole%20Kidman%20on%20Parenting%20in%20Lockdown%20%26%20How%20Keith%20Urban%20Saved%20Her%20From%20the%20%E2%80%98Great%20Killer%E2%80%99%20of%20Loneliness%20%7C%20Entertainment%20Tonight&txt=Glamour" target="_blank">Glamour</a>. "I have a very good relationship. It is a very soothing, comforting place for me to go, and he's a very strong, warm, kind man," she said. "I'm very fortunate to have that in my life because it's a really strong place to be able to go and curl up." The pair have been married since 2006 and share daughters Rose, 12 and Faith Margaret, 9. "And, this is a lonely world, right?" she said. "That's an extraordinary thing to have found, particularly later in my life. But it saved me, as well, which is a beautiful thing to have." <blockquote style="background: #FFF; border: 0; border-radius: 3px; box-shadow: 0 0 1px 0 rgba(0,0,0,0.5),0 1px 10px 0 rgba(0,0,0,0.15); margin: 1px; max-width: 540px; min-width: 326px; padding: 0; width: calc(100% - 2px);" class="instagram-media" data-instgrm-captioned="" data-instgrm-permalink="https://www.instagram.com/p/CHdzh1KHS1c/?utm_source=ig_embed&utm_campaign=loading" data-instgrm-version="13"> <div style="padding: 16px;"> <div style="display: flex; flex-direction: row; align-items: center;"> <div style="background-color: #f4f4f4; border-radius: 50%; flex-grow: 0; height: 40px; margin-right: 14px; width: 40px;"></div> <div style="display: flex; flex-direction: column; flex-grow: 1; justify-content: center;"> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; margin-bottom: 6px; width: 100px;"></div> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; width: 60px;"></div> </div> </div> <div style="padding: 19% 0;"></div> <div style="display: block; height: 50px; margin: 0 auto 12px; width: 50px;"></div> <div style="padding-top: 8px;"> <div style="color: #3897f0; font-family: Arial,sans-serif; font-size: 14px; font-style: normal; font-weight: 550; line-height: 18px;">View this post on Instagram</div> </div> <p style="color: #c9c8cd; font-family: Arial,sans-serif; font-size: 14px; line-height: 17px; margin-bottom: 0; margin-top: 8px; overflow: hidden; padding: 8px 0 7px; text-align: center; text-overflow: ellipsis; white-space: nowrap;"><a style="color: #c9c8cd; font-family: Arial,sans-serif; font-size: 14px; font-style: normal; font-weight: normal; line-height: 17px; text-decoration: none;" rel="noopener" href="https://www.instagram.com/p/CHdzh1KHS1c/?utm_source=ig_embed&utm_campaign=loading" target="_blank">A post shared by Nicole Kidman (@nicolekidman)</a> </div> </blockquote> Kidman referred to loneliness as a global "epidemic" and that she doesn't take her husband's unconditional love for granted. "They say loneliness is the great killer," she said. "It causes so much pain and I've been lonely, and it is very, very, very hard. You see it in older people. You see it in young people. You see it now in this world. We can't even hug anymore. Loneliness is an epidemic. So, I am very fortunate to come home to him. My heart goes out to the people who don't have a person to go to now." She said her family keeps her grounded. "I said once, 'I prefer children to adults.' I like adults more now — not more than kids, though," she said. "I love being around children and we've got five kids living with me now because Keith had to go [to Nashville] to release his album. So, my sister moved in to help me while I'm filming, and we have three of her younger kids — she has six — living with us." "Our kids — because we travel, and we won't be apart — are used to having to learn online," she said. "But the social distance has been very difficult for them. They are working through the emotions. For a 12-year-old, it's about not being able to access friends easily. That's a whole thing which every parent will be going through."

Relationships

National pen-pal program launched to help seniors stay connected

<div class="post_body_wrapper"> <div class="post_body"> <div class="body_text "> Many older Australians are feeling lonely and isolated as they’re staying inside due to the coronavirus pandemic. To combat these symptoms, care provider Home Instead Senior Care is launching an electronic pen-pal program to more than 40 franchises across the country. The program aims to connect members of the public with elderly Australians who are self-isolating in their homes or who are in aged care facilities. "I think there is a great need for community relations during this time, particularly with our most vulnerable," Home Instead's Karen Buckley told <a rel="noopener noreferrer" href="https://10daily.com.au/news/australia/a200330rktbg/national-pen-pal-service-launched-to-help-elderly-stay-connected-in-isolation-20200330" target="_blank">10 daily</a>. “This is about kindness and joy, and making these people still feel like valuable members of the community.” The idea started when a local business offered to deliver toilet paper to elderly people in Sydney, and the gesture sparked interest on the Facebook page “Viral Kindness Eastern Suburbs”. Donations and notes were printed off and delivered to residents of Regis Aged Care Rose Bay. "We trialled it locally in the eastern suburbs and within a few days, we got 20 cards, notes or emails," Buckley said. From Thursday, a new Facebook page and website will be launched for people who want to be a pen-pal. You’re able to register as a sender or a receiver. The public are also able to send an email directly or scan and attach a handwritten letter, which carers will print and share to the elderly in their care. "If there is a response, they will scan it and send it on accordingly," she said. "Loneliness is emerging as big a threat as dementia for our vulnerable, elderly people," she said. "This crisis we are facing brings home the fact they’re even more limited in terms of community connectedness. They could be quite well but the social isolation -- though warranted -- is another barrier to them retaining that sense of community." <a rel="noopener noreferrer" href="https://homeinstead.com.au/penpals/" target="_blank">If you want to register for a penpal, you can do so here.</a> </div> </div> </div>

Caring

How older people can cope with loneliness during the coronavirus crisis

Social distancing is rapidly becoming a way of life as Australia fights the outbreak of COVID-19. This is especially important when it comes to protecting the older and disabled members of our community living in residential aged care. In these facilities, communal living, chronic disease and advanced age combine to make the threat posed by COVID-19 far greater. Last week, the federal government issued <a href="https://www.health.gov.au/ministers/senator-the-hon-richard-colbeck/media/covid-19-prevention-guidelines-issued-to-aged-care-providers">guidelines</a> to further protect older people from COVID-19. Visitors are advised to stay away when they are unwell and ensure they follow advice on proper hygiene, but the new restrictions go even further: <ul> <li> no more than two visitors per resident per day </li> <li> no children under 16 </li> <li> no “non-essential” visitors, including hairdressers, allied health professionals, musicians and volunteers </li> <li> visits should take place in residents’ rooms or outdoors </li> </ul> Impact of loneliness and isolation The latest <a href="https://www.myagedcare.gov.au/aged-care-quality-standards">aged care quality standards</a> set by the Aged Care Quality and Safety Commission require that older people in residential aged care receive adequate social engagement. Reduced socialisation due to COVID-19 may have a deleterious effect on the health and well-being of these residents. Older people in residential aged care are already <a href="https://www.ncbi.nlm.nih.gov/pubmed/20881107">twice as likely to experience loneliness</a> than those living in the outside community. Many residents of aged care facilities also feel <a href="http://www.sciepub.com/AJNR/abstract/10417">socially isolated</a>, even though they live in communal settings. Some research has shown that many <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2247412/">residents in aged care facilities have few visitors</a>, although we need more research to understand the true levels of visiting. <a href="https://link.springer.com/article/10.1007/s10935-012-0271-2">Loneliness is also associated</a> with negative physical and mental health outcomes, including high blood pressure, cardiovascular disease, disability, cognitive decline, depression and early mortality. We know that up to half of residents in residential aged care facilities have significant <a href="https://www.aihw.gov.au/getmedia/7ad35fb2-bc14-4692-96b1-c15d73072319/16256.pdf.aspx?inline=true">symptoms of depression</a> and two-thirds have cognitive impairment. There is growing evidence that older people who are lonely or isolated may also be at a higher risk of exacerbating the onset and trajectory of <a href="https://www.sciencedirect.com/science/article/pii/S156816371500046X">dementia and Alzheimer’s disease</a>. Disruptions to <a href="https://www.verywellhealth.com/using-routines-in-dementia-97625">familiar routines and rituals</a> stemming from reduced activities and decreased access to communal areas may also have a negative effect, particularly for people with dementia. This, too, can <a href="https://www.ncbi.nlm.nih.gov/pubmed/18679028">reduce the quality of their lives</a>. Maintaining connections during coronavirus So, what can we do to improve the mental health of residents during this outbreak when visitor access will be curtailed even further? For starters, activities such as <a href="https://www.ncbi.nlm.nih.gov/pubmed/19697299">reminiscence therapy</a> and <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5500733/">music therapy</a> have been shown to help loneliness and depression. Intergenerational programmes involving visits from secondary school students, such as <a href="https://www.cmc.vic.edu.au/wp-content/uploads/2019/08/iGEN-Brochure-A4-pages-160719-e-1.pdf">iGEN</a>, can also reduce isolation and loneliness and support broader community connections. These will need to be modified during the coronavirus outbreak, due to the restrictions on non-essential visitors. Similarly, <a href="https://www.ncbi.nlm.nih.gov/pubmed/28544504">research</a> shows that <a href="https://www.agedcareguide.com.au/talking-aged-care/be-a-friend-project-aims-to-reduce-loneliness-in-aged-care-residents">befriending</a> – which involves volunteers visiting an older person weekly to chat about topics of mutual interest – can also help residents cope with depression, anxiety and loneliness. Under the new COVID-19 guidelines, we also need to explore creative ways to maintain engagement in such programs. Technology such as <a href="https://www.ruralhealth.org.au/partyline/article/technology-helping-elders-aged-care-stay-meaningfully-connected">Zoom, Skype and FaceTime</a>, for instance, can support older people in residential aged care to meaningfully connect with family and friends. The use of <a href="https://www.researchgate.net/publication/51423436_Use_of_videophones_for_distant_caregiving_-_An_enriching_experience_for_families_and_residents_in_long-term_care">smartphones</a> in aged care settings has already been associated with increased social support for both residents and their families, helping them to feel closer and providing reassurance. When technology isn’t available, gestures as simple as a regular telephone chat can provide a significant boost to a resident’s well-being. Other strategies include sending aged care residents individually curated music playlists, letters, photos and postcards using large font to help keep their spirits up. Virtual karaoke is another creative solution. <a href="https://www.dementiaallianceinternational.org/managing-the-coronavirus/">Dementia Alliance International</a> has created a suite of online resources for older people, as well, including virtual tours of museums and galleries. The challenge here, however, is an an urgent need to <a href="https://www-tandfonline-com.ezproxy2.acu.edu.au/doi/full/10.1080/10376178.2017.1411203">increase the uptake of technology</a> within the aged care sector. There are some federal programs, such as “<a href="https://beconnected.esafety.gov.au/">Be Connected</a>”, which trains older adults to use technology, but more resources are needed. More assistance to aged care staff Much of the gap in social support due to visitor restrictions will need to be taken up by nurses and personal care workers. The federal government has announced <a href="https://www.health.gov.au/ministers/senator-the-hon-richard-colbeck/media/funding-boost-for-aged-care-set-to-strengthen-defence-against-covid-19">additional funding</a> to boost staff numbers and training during the COVID-19 crisis, which will be essential to support an already overstretched workforce. Workforce consistency is vital to supporting residents’ health and wellbeing. <a href="https://www.ncbi.nlm.nih.gov/pubmed/29396884">Our research</a> shows that residents greatly value the ability to develop familiarity, trust and rapport with frontline staff. Aged care providers also need to support their staff through the crisis. Some are boosting morale with innovative programs such as Baptist Care’s <a href="http://SupportTheStaff@baptistcare.org.au">“Support The Staff” email campaign</a>, which enables family members of residents and the general public to send uplifting messages to staff. Balancing the need for protection and connection It is also vitally important to respect <a href="https://www.myagedcare.gov.au/rights-and-responsibilities%20">residents’ rights</a> during this challenging time, and offer them as much control as possible over choices. While it is for the collective good to restrict face-to-face visits, alternatives need to be offered. Government policies and operators will need to navigate the delicate balance between protection of older people from COVID-19 and their rights to social engagement. There is a possible upside to the current crisis. The sense of urgency created by our attempts to stave off COVID-19 may lead to innovative solutions to address loneliness in aged care settings – and longer-lasting improvements in the mental health of residents.<img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important; text-shadow: none !important;" src="https://counter.theconversation.com/content/133771/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /> <a href="https://theconversation.com/profiles/bridget-laging-160367">Bridget Laging</a>, Senior Research Fellow, Aged Care PhD, <a href="https://theconversation.com/institutions/australian-catholic-university-747">Australian Catholic University</a> and <a href="https://theconversation.com/profiles/colleen-doyle-3603">Colleen Doyle</a>, Senior Principal Research Fellow, National Ageing Research Institute This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/virtual-karaoke-and-museum-tours-how-older-people-can-cope-with-loneliness-during-the-coronavirus-crisis-133771">original article</a>.

Mind

Social media might make us lonely, but it depends on how you use it

Humans are <a href="https://www.statista.com/statistics/471264/iot-number-of-connected-devices-worldwide/">more connected to each other than ever</a>, thanks to smartphones, the web and social media. At the same time, loneliness is a huge and growing social problem. Why is this so? Research shows social media use alone can’t cure loneliness – but it can be a tool to build and strengthen our genuine connections with others, which are important for a happy life. To understand why this is the case, we need to understand more about loneliness, its harmful impact, and what this has to do with social media. The scale of loneliness There is great concern about <a href="https://www.vichealth.vic.gov.au/letter/articles/vh-letter-47-loneliness">a loneliness epidemic</a> in Australia. In the 2018 Australian Loneliness Report, more than one-quarter of survey participants <a href="https://psychweek.org.au/wp/wp-content/uploads/2018/11/Psychology-Week-2018-Australian-Loneliness-Report.pdf">reported feeling lonely</a> three or more days a week. Studies have linked loneliness to <a href="https://www.ncbi.nlm.nih.gov/pubmed/25910392">early mortality</a>, <a href="https://www.ncbi.nlm.nih.gov/pubmed/21044327">increased cardio-vascular disease</a>, <a href="https://www.researchgate.net/publication/8930743_Popularity_Friendship_Quantity_and_Friendship_Quality_Interactive_Influences_on_Children's_Loneliness_and_Depression">poor mental health and depression</a>, <a href="https://journals.sagepub.com/doi/10.1177/0044118X03261435">suicide</a>, and increased <a href="https://www.ncbi.nlm.nih.gov/pubmed/31119308">social and health care costs</a>. But how does this relate to social media? More and more Australians are becoming physically isolated. <a href="https://journals.sagepub.com/doi/abs/10.1177/1440783316674358?journalCode=josb">My previous research</a> demonstrated that face-to-face contact in Australia is declining, and this is accompanied by <a href="https://journals.sagepub.com/doi/abs/10.1177/1440783316674358?journalCode=josb">a rise in technology-enabled communication</a>. Enter social media, which for many is serving as a replacement for physical connection. Social media influences nearly all relationships now. Navigating the physical/digital interface While there is evidence of more loneliness among heavy social media users, there is also evidence suggesting <a href="https://journals.sagepub.com/doi/full/10.1177/1745691617713052">social media use decreases loneliness among highly social people</a>. How do we explain such apparent contradictions, wherein both the most and least lonely people are heavy social media users? Research <a href="https://journals.sagepub.com/doi/full/10.1177/1745691617713052">reveals</a> social media is most effective in tackling loneliness when it is used to enhance existing relationships, or forge new meaningful connections. On the other hand, it is counterproductive if used as a substitute for real-life social interaction. Thus, it is not social media itself, but the way we integrate it into our existing lives which impacts loneliness. I wandered lonely in the cloud While social media’s implications for loneliness can be positive, they can also be contradictory. Tech-industry enthusiasts highlight social media’s benefits, such as how it offers easy, algorithimically-enhanced connection to anyone, anywhere in the world, at any time. But this argument often ignores the quality of these connections. Psychologist Robert Weiss makes a distinction between <a href="https://books.google.com.au/books/about/Loneliness_the_Experience_of_Emotional_a.html?id=KuibQgAACAAJ&redir_esc=y">“social loneliness”</a> – a lack of contact with others – and <a href="https://books.google.com.au/books/about/Loneliness_the_Experience_of_Emotional_a.html?id=KuibQgAACAAJ&redir_esc=y">“emotional loneliness”</a>, which can persist regardless of how many “connections” you have, especially if they do not provide support, affirm identity and create feelings of belonging. Without close, physical connections, shallow virtual friendships can do little to alleviate emotional loneliness. And there is reason to think many online connections are just that. Evidence from past literature has <a href="https://journals.sagepub.com/doi/full/10.1177/1745691617713052">associated heavy social media use with increased loneliness</a>. This may be because online spaces are often oriented to <a href="https://www.sciencedirect.com/science/article/pii/S0747563219303073">performance, status, exaggerating favourable qualities</a> (such as by posting only “happy” content and likes), and frowning on expressions of loneliness. On the other hand, social media plays a vital role in helping us stay connected with friends over long distances, and organise catch-ups. Video conferencing can facilitate “meetings” when physically meeting is impractical. Platforms like Facebook and Instagram can be used to engage with new people who may turn into real friends later on. Similarly, sites like <a href="https://www.meetup.com/">Meetup</a> can help us find local groups of people whose interests and activities align with our own. And while face-to-face contact remains the best way to help reduce loneliness, help can sometimes be found through online support groups. Why so lonely? There are several likely reasons for our great physical disconnection and loneliness. We’ve replaced the 20th century idea of stable, permanent careers spanning decades with flexible employment and gig work. This prompts regular relocation for work, which results in disconnection from <a href="http://rpatulny.com/2017/04/06/flexible-work-and-gender-inequities-in-work-and-care-lets-fix-the-incentives/">family and friends</a>. The way we build <a href="http://rpatulny.com/2017/04/20/the-mcmansion-the-small-idea-with-the-big-cost/">McMansions</a> (large, multi-room houses) and <a href="http://rpatulny.com/2017/05/05/australias-east-coast-exopolis-the-post-sustainable-sprawl/">sprawl our suburbs</a> is often antisocial, with little thought given to developing <a href="http://rpatulny.com/2017/05/27/utopia-can-we-plan-future-cities-for-tomorrows-families/">vibrant, walkable social centres</a>. Single-person households are <a href="https://mspgh.unimelb.edu.au/ageing-industry-network/newsletter-issue-12-may-2019/the-challenge-of-social-isolation-and-loneliness">expected to increase</a> from about 2.1 million in 2011 to almost 3.4 million in 2036. All of the above means the way we manage loneliness is changing. <a href="https://www.routledge.com/Emotions-in-Late-Modernity-1st-Edition/Patulny-Bellocchi-Olson-Khorana-McKenzie-Peterie/p/book/9780815354321">In our book</a>, my co-authors and I argue people manage their feelings differently than in the past. Living far from friends and family, isolated individuals often deal with negative emotions alone, through therapy, or through connecting online with whoever may be available. Social media use is pervasive, so the least we can do is bend it in a way that facilitates our real-life need to belong. It is a tool that should work for us, not the other way around. Perhaps, once we achieve this, we can expect to live in a world that is a bit less lonely.<img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important; text-shadow: none !important;" src="https://counter.theconversation.com/content/128468/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /> <a href="https://theconversation.com/profiles/roger-patulny-94836">Roger Patulny</a>, Associate Professor of Sociology, <a href="https://theconversation.com/institutions/university-of-wollongong-711">University of Wollongong</a> This article is republished from <a href="http://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/does-social-media-make-us-more-or-less-lonely-depends-on-how-you-use-it-128468">original article</a>.

Technology

A history of loneliness

Is loneliness our modern malaise? Former U.S. Surgeon General Vivek Murthy <a href="https://hbr.org/cover-story/2017/09/work-and-the-loneliness-epidemic">says</a> the most common pathology he saw during his years of service “was not heart disease or diabetes; it was loneliness.” Chronic loneliness, <a href="https://www.theguardian.com/society/2013/mar/12/duncan-selbie-isolated-bad-health">some say</a>, is like “smoking 15 cigarettes a day.” It “<a href="http://www.slate.com/articles/health_and_science/medical_examiner/2013/08/dangers_of_loneliness_social_isolation_is_deadlier_than_obesity.html">kills more people than obesity</a>.” Because loneliness is now considered a <a href="http://www.apa.org/news/press/releases/2017/08/lonely-die.aspx">public health</a> issue – and even an <a href="http://fortune.com/2016/06/22/loneliness-is-a-modern-day-epidemic/">epidemic</a> – people are exploring its causes and trying to find solutions. While writing a book on the history of how poets wrote about loneliness in the <a href="https://www.britannica.com/art/English-literature/The-Romantic-period">Romantic Period</a>, I discovered that loneliness is a relatively new concept and once had an easy cure. However, as the concept’s meaning has transformed, finding solutions has become harder. Returning to the origins of the word – and understanding how its meaning has changed through time – gives us a new way to think about modern loneliness, and the ways in which we might address it. <h2>The dangers of venturing into ‘lonelinesses’</h2> Although loneliness may seem like a timeless, universal experience, it seems to have originated in the late 16th century, when it signaled the danger created by being too far from other people. In early modern Britain, to stray too far from society was to surrender the protections it provided. Distant forests and mountains inspired fear, and a lonely space was a place in which you might meet someone who could do you harm, with no one else around to help. In order to frighten their congregations out of sin, sermon writers asked people to imagine themselves in “lonelinesses” – places like hell, the grave or the desert. Yet well into the 17th century, the words “loneliness” and “lonely” rarely appeared in writing. In 1674, the naturalist John Ray <a href="http://www.thesalamancacorpus.com/varia_various_1500-1699_ray_a-collection_1691.html">compiled a glossary</a> of infrequently used words. He included “loneliness” in his list, defining it as a term used to describe places and people “far from neighbours.” John Milton’s 1667 epic poem “<a href="https://www.dartmouth.edu/%7Emilton/reading_room/pl/book_1/text.shtml">Paradise Lost</a>” features one of the first lonely characters in all of British literature: Satan. On his journey to the garden of Eden to tempt Eve, Satan treads “lonely steps” out of hell. But Milton isn’t writing about Satan’s feelings; instead, he’s emphasizing that he’s crossing into the ultimate wilderness, a space between hell and Eden where no angel has previously ventured. Satan <a href="https://www.dartmouth.edu/%7Emilton/reading_room/pl/book_2/text.shtml">describes</a> his loneliness in terms of vulnerability: “From them I go / This uncouth errand sole, and one for all / Myself expose, with lonely steps to tread / Th’ unfounded deep.” <h2>The dilemma of modern loneliness</h2> Even if we now enjoy the wilderness as a place of adventure and pleasure, the fear of loneliness persists. The problem has simply moved into our cities. Many are trying to solve it by bringing people physically closer to their neighbors. <a href="https://www.aarp.org/research/topics/life/info-2014/loneliness_2010.html">Studies</a> point to a spike in the number of people who live alone and the breakdown of family and community structures. British Prime Minister Theresa May has set her sights on “combating” loneliness and <a href="https://www.nytimes.com/2018/01/17/world/europe/uk-britain-loneliness.html">appointed</a> a minister of loneliness to do just that in January. There is even a <a href="https://www.campaigntoendloneliness.org">philanthropy</a> called the “Campaign to End Loneliness.” But the drive to cure loneliness oversimplifies its modern meaning. In the 17th century, when loneliness was usually relegated to the space outside the city, solving it was easy. It merely required a return to society. However, loneliness has since moved inward – and has become much harder to cure. Because it’s taken up residence inside minds, even the minds of people living in bustling cities, it can’t always be solved by company. Modern loneliness isn’t just about being physically removed from other people. Instead, it’s an emotional state of feeling apart from others – without necessarily being so. Someone surrounded by people, or even accompanied by friends or a lover, can complain of feelings of loneliness. The wilderness is now inside of us. <h2>Populating the wilderness of the mind</h2> The lack of an obvious cure to loneliness is part of the reason why it is considered to be so dangerous today: The abstraction is frightening. Counterintuitively, however, the secret to dealing with modern loneliness might lie not in trying to make it disappear but in finding ways to dwell within its abstractions, talk through its contradictions and seek out others who feel the same way. While it’s certainly important to pay attention to the structures that have led people (especially elderly, disabled and other vulnerable people) to be physically isolated and therefore unwell, finding ways to destigmatize loneliness is also crucial. Acknowledging that loneliness is a profoundly human and sometimes uncurable experience rather than a mere pathology might allow people – especially lonely people – to find commonality. In order to look at the “epidemic of loneliness” as more than just an “epidemic of isolation,” it’s important to consider why the spaces of different people’s minds might feel like wildernesses in the first place. Everyone experiences loneliness differently, and many find it difficult to describe. As the novelist Joseph Conrad <a href="https://books.google.com/books?id=8P99Y2HWGK4C&dq=under%20western%20eyes&pg=PP1#v=onepage&q=true%20loneliness&f=false">wrote</a>, “Who knows what true loneliness is – not the conventional word but the naked terror? To the lonely themselves it wears a mask.” Learning about the range of ways others experience loneliness could help mitigate the kind of disorientation Conrad describes. Reading literature can also make the mind feel like less of a wilderness. The books we read need not themselves be about loneliness, though there are lots of examples of these, from “<a href="https://www.publishersweekly.com/pw/by-topic/industry-news/tip-sheet/article/69506-10-books-about-loneliness.html">Frankenstein</a>” to “<a href="https://www.theguardian.com/books/2011/aug/24/teju-cole-top-10-novels-solitude">Invisible Man</a>.” Reading allows readers to connect with characters who might also be lonely; but more importantly, it offers a way to make the mind feel as though it is populated. Literature also offers examples of how to be lonely together. British Romantic poets often copied each other’s loneliness and found it productive and fulfilling. There are opportunities for community in loneliness when we share it, whether in face-to-face interactions or through text. Though loneliness can be debilitating, it has come a long way from its origins as a synonym for isolation. As the poet Ocean Vuong <a href="https://www.newyorker.com/magazine/2015/05/04/someday-ill-love-ocean-vuong">wrote</a>, “loneliness is still time spent with the world.”<img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important; text-shadow: none !important;" src="https://counter.theconversation.com/content/91542/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /> <a href="https://theconversation.com/profiles/amelia-s-worsley-443122">Amelia S. Worsley</a>, Assistant Professor of English, <a href="http://theconversation.com/institutions/amherst-college-2155">Amherst College</a> This article is republished from <a href="http://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/a-history-of-loneliness-91542">original article</a>.

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