Evidence map›Paper›PMID 37419082›Full record

ArticleSchizophrenia bulletin2023

Social Withdrawal, Loneliness, and Health in Schizophrenia: Psychological and Neural Mechanisms.

Daniel Fulford, Daphne J Holt

Open access · greenAbstract read
In one paragraph

Article in Schizophrenia bulletin, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed
8.7field-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

27 citing papers in PubMed, 39 citations in OpenAlex.

  1. Article
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  9. TALE and Hox Transcription Factors Control Adult Behaviors in Zebrafish.bioRxiv : the preprint server for biology · 2026
    Article
  10. Article
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  15. Loneliness in schizophrenia: Just loneliness.Annals of the New York Academy of Sciences · 2025
    Review
  16. Adaptation to colorectal cancer and ostomy: Psychological flexibility mitigates loneliness associated with social withdrawal.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
    Article
  17. Article
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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

2 authors at 2 institutions in 1 country.

Daniel FulfordSargent College of Health and Rehabilitation Sciences, Boston University, Boston, MA, USA.
Daphne J HoltDepartment of Psychiatry, Harvard Medical School, Boston, MA, USA.
Boston University · USHarvard University · US

Funding

Neural mechanisms of social distance in psychosisR01MH109562 · NIMH · MASSACHUSETTS GENERAL HOSPITAL · PI HOLT, DAPHNE J · 2016 to 2020
$4.1M
Supplement: Neurobehavioral mechanisms of social isolation and loneliness in serious mental illnessR01MH127265 · NIMH · MASSACHUSETTS GENERAL HOSPITAL · PI FULFORD, DANIEL C, HOLT, DAPHNE J · 2021 to 2025
$4.0M
Stable and dynamic neurobehavioral phenotypes of social isolation and loneliness in serious mental illnessR01MH125426 · NIMH · MASSACHUSETTS GENERAL HOSPITAL · PI DANIEL C FULFORD, DAPHNE J HOLT · 2022 to 2026
$1.3M
SCH: INT: Collaborative Research: Passive sensing of social isolation: A digital phenotying approach R01MH122367 · NIMH · BOSTON UNIVERSITY (CHARLES RIVER CAMPUS) · PI BUSSO, CARLOS ALBERTO, FULFORD, DANIEL C · 2019 to 2022
$1.2M
NIMH NIH HHS R01 MH109562NIMH NIH HHS R01 MH122367NIMH NIH HHS R01 MH125426NIMH NIH HHS R01 MH127265
6 · The paper itself

Abstract

background and hypothesisSome of the most debilitating aspects of schizophrenia and other serious mental illnesses (SMI) are the impairments in social perception, motivation, and behavior that frequently accompany these conditions. These impairments may ultimately lead to chronic social disconnection (ie, social withdrawal, objective isolation, and perceived social isolation or loneliness), which may contribute to the poor cardiometabolic health and early mortality commonly observed in SMI. However, the psychological and neurobiological mechanisms underlying relationships between impairments in social perception and motivation and social isolation and loneliness in SMI remain incompletely understood. STUDY

designA narrative, selective review of studies on social withdrawal, isolation, loneliness, and health in SMI. STUDY

resultsWe describe some of what is known and hypothesized about the psychological and neurobiological mechanisms of social disconnection in the general population, and how these mechanisms may contribute to social isolation and loneliness, and their consequences, in individuals with SMI.

conclusionsA synthesis of evolutionary and cognitive theories with the "social homeostasis" model of social isolation and loneliness represents one testable framework for understanding the dynamic cognitive and biological correlates, as well as the health consequences, of social disconnection in SMI. The development of such an understanding may provide the basis for novel approaches for preventing or treating both functional disability and poor physical health that diminish the quality and length of life for many individuals with these conditions.

Indexed as

Mental DisordersSchizophreniaHumansLonelinessMotivationSocial Isolation

Identifiers

PMID37419082
PMCPMC10483452
OpenAlexW4383495915

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.