Addressing Loneliness Through Psychological Help and Oxytocin
Exploring effective methods to combat loneliness through therapy and oxytocin.
― 5 min read
Table of Contents
Loneliness is an emotional feeling that arises when a person believes they do not have enough or meaningful Social Connections. This feeling can be painful and is thought to have an evolutionary purpose: it nudges people to seek out social contact, similar to how hunger drives someone to find food. However, if loneliness persists, it can lead to serious issues both mentally and physically.
Research shows that even though loneliness shares some signs with conditions like depression and social anxiety, it stands out as its own issue. The occurrence of loneliness can change based on how it is measured and factors like age. Recently, loneliness has been gaining recognition as a significant concern in society and public health.
Psychological Help for Loneliness
A recent study reviewed various ways to help people cope with loneliness and found that Psychological Interventions generally work. Some of these approaches include cognitive behavioral therapy, mindfulness techniques, and social skills training. Overall, these methods showed a small to medium positive effect on reducing loneliness.
However, the study noted that the results might be overly optimistic because many of the analyzed studies lacked a proper comparison group, had a high risk of bias, and often dropped out many participants along the way. This highlights the need for better and more effective methods to help people experiencing loneliness.
Oxytocin for Help
AddingOne idea for improving the effectiveness of psychological interventions is to use oxytocin (OT), a hormone that plays a role in social behaviors. Oxytocin is linked to how we bond with others and can influence our feelings of trust and empathy. Research suggests that loneliness can affect how well oxytocin works in social situations.
While earlier studies provided mixed results about using oxytocin with therapy, this study focused on its potential benefits when combined with a structured intervention for loneliness.
The Study Design
The research involved a well-structured trial where participants with high levels of loneliness took part in a short-term group intervention. This intervention consisted of five weekly sessions that drew from various evidence-based therapy techniques to address issues tied to loneliness, such as feeling hopeless or lacking social skills.
Some participants received oxytocin before each session, while others received a placebo. The aim was to see if the addition of oxytocin would enhance the positive outcomes of the therapy.
What Was Measured
Before the intervention began, participants went through several assessments to measure their loneliness levels. They used a specific scale to determine their baseline loneliness score and looked at other factors like quality of life, Stress Levels, and social anxiety. Throughout the sessions, they continued to report on their feelings of loneliness and other related factors.
To understand the effects of the intervention and the oxytocin treatment, researchers analyzed how loneliness and stress changed from the beginning of the study to the follow-up assessments.
Key Findings of the Study
Effects of the Intervention
The results showed that the psychological intervention helped reduce feelings of loneliness among participants. Observations revealed a positive change in their overall loneliness scores after the therapy sessions, suggesting that the treatment was effective in some ways.
Additionally, participants reported lower levels of stress over time as they progressed through the intervention. However, no noticeable change in quality of life or feelings of depression was found immediately after the sessions.
Role of Oxytocin
The use of oxytocin appeared to enhance participants' feelings of connection to the group. Those who received oxytocin felt a stronger bond with group members compared to those who received the placebo. While oxytocin didn't significantly impact overall loneliness scores, it did play a role in improving the participants' feelings of connectedness during the sessions.
Follow-Up Results
The researchers followed up with participants to see if the benefits of the intervention lasted over time. They found that loneliness scores remained lower even three months after the intervention ended, indicating some lasting effects. However, general stress levels did not show significant long-term changes.
Interestingly, the study also revealed that social anxiety among the participants significantly decreased at the follow-up points compared to their initial scores, suggesting that the intervention may have helped participants gain confidence in social situations over time.
Exploring Social Connections
Another area of interest was whether the intervention would lead to an increase in social connections. The researchers found that participants began to have more social roles and connections, indicating that the therapy may have also improved their social networks. This increase in social interaction could help reduce feelings of loneliness in the future.
Limitations of the Study
While the findings provide valuable insights, the study had some limitations. The lack of a control group or a waiting list for comparison makes it difficult to draw strong conclusions about how effective the psychological intervention truly is. Additionally, the study's short duration limits the ability to assess long-term effectiveness fully.
Conclusion
The study highlights the potential benefits of psychological interventions for reducing feelings of loneliness. It also suggests that adding oxytocin may enhance feelings of bonding during therapy sessions, helping participants feel more connected to others. While there was no significant change in overall loneliness scores due to oxytocin, improvements in state loneliness during sessions were noted.
Overall, these findings indicate that loneliness is a serious issue that can affect overall well-being. As more people recognize the impact of loneliness on health, ongoing research is vital to identify effective strategies to help individuals cope with and overcome it. Further studies can help clarify how best to support people dealing with loneliness, especially in a society that can often feel disconnected.
Title: Oxytocin-augmented modular-based group intervention for loneliness: A proof-of-concept randomized-controlled trial
Abstract: IntroductionLoneliness poses a significant health problem and existing psychological interventions have shown only limited positive effects on loneliness. Based on preliminary evidence for impaired oxytocin signaling in trait-like loneliness, the current proof-of-concept study used a randomized, double-blind, placebo- controlled design to probe intranasal oxytocin (OT) as an adjunct to a short-term modular-based group intervention for individuals suffering from high trait-like loneliness (HL, UCLA loneliness scale [≥] 55). MethodsSeventy-eight healthy HL adults (56 women) received five weekly group psychotherapy sessions targeting cognitive biases in loneliness. HL participants received OT or placebo before the intervention sessions. Primary outcomes were trait- like loneliness measured at baseline, after the intervention, and again at two follow-up time points (three weeks and three months), and, assessed at each session, state loneliness (visual analog scale), perceived stress (Perceived Stress Scale, PSS-10), quality of life (World Health Organization Five Well-Being Index, WHO-5), and the therapeutic relationship (Group Questionnaire, GQ-D). ResultsThe psychological intervention was associated with significantly reduced perceived stress and improved trait-like loneliness across treatment groups, which was still evident at the 3-month follow-up. OT had no significant effect on trait-like loneliness, quality of life, or perceived stress. However, compared to placebo, OT significantly facilitated the decrease in state loneliness within sessions and significantly improved positive bonding between the group members. ConclusionDespite significantly improved trait-like loneliness after the intervention, OT did not significantly augment this effect. Further studies are needed to determine optimal intervention designs to translate the observed acute effects of OT into long- term benefits.
Authors: Jana Lieberz, R. Berger, R. Hurlemann, S. G. Shamay-Tsoory, A. Kantermann, M. Brauser, J. Gorni, M. Luhmann, E. Schramm, J. Schultz, A. Philipsen, D. Scheele
Last Update: 2023-10-30 00:00:00
Language: English
Source URL: https://www.medrxiv.org/content/10.1101/2023.10.30.23297746
Source PDF: https://www.medrxiv.org/content/10.1101/2023.10.30.23297746.full.pdf
Licence: https://creativecommons.org/licenses/by/4.0/
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