Evidence map›Paper›PMID 34230607›Full record

SynthesisNeuropsychopharmacology : official publication of the American College of Neuropsychopharmacology2021

Neurobiology of loneliness: a systematic review.

Jeffrey A Lam, Emily R Murray, Kasey E Yu, Marina Ramsey, Tanya T Nguyen, Jyoti Mishra, Brian Martis, Michael L Thomas, Ellen E Lee

Open access · bronzeAbstract readSystematic Review
In one paragraph

Synthesis in Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 103 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
103citing papers in PubMed, 4 pooled it
14.7field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

103 citing papers in PubMed, 4 syntheses or guidelines pooled it, 218 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Experiences of Loneliness Across the Lifespan: A Systematic Review and Thematic Synthesis of Qualitative Studies.International journal of qualitative studies on health and well-being · 2023
    Pooled it
  4. Pooled it
  5. A Survey to Assess Loneliness and Predictive Factors Among Students at a US Medical School.Academic psychiatry : the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry · 2026
    Article
  6. Article
  7. Loneliness in Focus: Proposing a Resident Curriculum.Academic psychiatry : the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry · 2026
    Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Social connectedness and cognitive outcomes in rural middle- to older-age adults.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026
    Review
  14. Article
  15. Article
  16. Article
  17. Review
  18. Article
  19. Article
  20. Article

43 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 4 institutions in 1 country.

Jeffrey A LamWarren Alpert Medical School of Brown University, Providence, RI, USA.
Emily R MurrayDivision of Biological Sciences, University of California San Diego, La Jolla, CA, USA.
Kasey E YuSam and Rose Stein Institute for Research on Aging, University of California San Diego, La Jolla, CA, USA.
Marina RamseySam and Rose Stein Institute for Research on Aging, University of California San Diego, La Jolla, CA, USA.ORCID http://orcid.org/0000-0002-5870-812X
Tanya T NguyenSam and Rose Stein Institute for Research on Aging, University of California San Diego, La Jolla, CA, USA.
Jyoti MishraDepartment of Psychiatry, University of California San Diego, La Jolla, CA, USA.
Brian MartisDepartment of Psychiatry, University of California San Diego, La Jolla, CA, USA.
Michael L ThomasDepartment of Psychology, Colorado State University, Fort Collins, CO, USA.
Ellen E LeeSam and Rose Stein Institute for Research on Aging, University of California San Diego, La Jolla, CA, USA. eel013@health.ucsd.edu.
University of California San Diego · USBrown University · USColorado State University · USUC San Diego Health System · US

Funding

Accelerated Inflammaging in SchizophreniaR01MH094151 · NIMH · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI EYLER, LISA T · 2012 to 2021
$7.4M
Cognitive Consequences of Obstructive Sleep Apnea in Schizophrenia: An Investigation of Inflammatory MechanismsR01MH135147 · NIMH · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI Ellen Eun-Ok Lee · 2024 to 2026
$2.2M
Inflammatory Mechanisms Linking Sleep Disturbances and Cognitive Deficits in Schizophrenia in Later LifeK23MH119375 · NIMH · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI LEE, ELLEN EUN-OK · 2019 to 2023
$1.0M
Characterizing the gut microbiome in schizophrenia: Relationship to age, cognition, & disease-related factorsK23MH118435 · NIMH · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI NGUYEN, TANYA T · 2019 to 2020
$375k
NIMH NIH HHS K23 MH118435NIMH NIH HHS K23 MH119375NIMH NIH HHS R01 MH094151NIMH NIH HHS R01 MH135147
6 · The paper itself

Abstract

Loneliness is associated with increased morbidity and mortality. Deeper understanding of neurobiological mechanisms underlying loneliness is needed to identify potential intervention targets. We did not find any systematic review of neurobiology of loneliness. Using MEDLINE and PsycINFO online databases, we conducted a search for peer-reviewed publications examining loneliness and neurobiology. We identified 41 studies (n = 16,771 participants) that had employed various methods including computer tomography (CT), structural magnetic resonance imaging (MRI), functional MRI (fMRI), electroencephalography (EEG), diffusion tensor imaging (DTI), single-photon emission computed tomography (SPECT), positron emission tomography (PET), and post-mortem brain tissue RNA analysis or pathological analysis. Our synthesis of the published findings shows abnormal structure (gray matter volume or white matter integrity) and/or activity (response to pleasant versus stressful images in social versus nonsocial contexts) in the prefrontal cortex (especially medial and dorsolateral), insula (particularly anterior), amygdala, hippocampus, and posterior superior temporal cortex. The findings related to ventral striatum and cerebellum were mixed. fMRI studies reported links between loneliness and differential activation of attentional networks, visual networks, and default mode network. Loneliness was also related to biological markers associated with Alzheimer's disease (e.g., amyloid and tau burden). Although the published investigations have limitations, this review suggests relationships of loneliness with altered structure and function in specific brain regions and networks. We found a notable overlap in the regions involved in loneliness and compassion, the two personality traits that are inversely correlated in previous studies. We have offered recommendations for future research studies of neurobiology of loneliness.

Indexed as

Alzheimer DiseaseDiffusion Tensor ImagingBrainHumansLonelinessMagnetic Resonance Imaging

Identifiers

PMID34230607
PMCPMC8258736
OpenAlexW3182515139

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.