Spanknebel Sebastian, Barton Simon, Hurlemann René
Universitätsklinik für Psychiatrie & Psychotherapie, Fakultät VI für Medizin & Gesundheitswissenschaften, Carl von Ossietzky Universität Oldenburg, Ammerländer Heerstraße 114-118, 26129, Oldenburg, Deutschland.
Nervenarzt. 2024 Nov;95(11):991-997. doi: 10.1007/s00115-024-01739-w. Epub 2024 Sep 13.
Global polycrises comprise the synchronous or consecutive occurrence of various crises, with no intervening phases of stability, e.g., coronavirus disease 2019 (COVID-19) pandemic, inflation, war and climate crisis. This poses challenges for both society as a whole and its individual members. Polycrises are associated with enormous psychological stress, especially for vulnerable groups. Polycrises also impair social interaction, which can trigger or intensify subjectively stressful loneliness. The aim of this narrative review is to show how loneliness affects social behavior in times of global polycrises and what the consequences are. Loneliness is associated with both mental and physical morbidity and mortality as well as being a significant barrier to recovery. Studies have shown that there is a mutual detrimental influence between mental illness and loneliness. The social behavior of chronically lonely people is characterized by a negative cognitive bias, hypervigilance in the social context and a dysregulated oxytocin system. Furthermore, the quality and quantity of these relationships are significantly impaired. The social consequences of loneliness are, for example, a decrease in social engagement and low voting participation. The phenomenon of loneliness clearly shows that crises can exacerbate latent problems and bring them to the surface; however, crises should also be seen as an opportunity to openly and constructively address shame-laden topics such as loneliness in public discourse and in psychotherapeutic settings.
全球多重危机包括各种危机的同步或连续发生,不存在中间的稳定阶段,例如2019冠状病毒病(COVID-19)大流行、通货膨胀、战争和气候危机。这给整个社会及其个体成员都带来了挑战。多重危机与巨大的心理压力相关,尤其是对弱势群体而言。多重危机还会损害社会互动,这可能引发或加剧主观上有压力的孤独感。本叙述性综述的目的是展示在全球多重危机时期孤独如何影响社会行为以及后果是什么。孤独与心理和生理疾病及死亡率都有关联,并且是康复的重大障碍。研究表明,精神疾病和孤独之间存在相互不利的影响。长期孤独的人的社会行为具有消极认知偏差、在社交情境中过度警觉以及催产素系统失调的特征。此外,这些人际关系的质量和数量都受到显著损害。孤独的社会后果包括社会参与度下降和投票参与率低等。孤独现象清楚地表明,危机可以加剧潜在问题并使其浮出水面;然而,危机也应被视为一个机会,以便在公共话语和心理治疗环境中公开且建设性地处理诸如孤独这类令人感到羞耻的话题。