Table 1.
outcome | later childhood and early adolescence (6–12 years) | adolescence (13–17 years) | early and mid-adulthood (18–49 years) | later adulthood (50+ years) |
---|---|---|---|---|
mental health | → depressive symptoms [26–28] | → depressive symptoms [29–32] | → depressive symptoms [33–35]; depression, pain and fatigue [36] | → depressive symptoms [37–39]; depression, pain and fatigue [36] |
sleep | → poor sleep quality [27] | → poor sleep quality [40]; → shorter sleep duration [41] | poor sleep quality [40,42,43] | → poor sleep quality [44,45] |
executive control | impaired executive control [46] | → impaired control over eating behaviour in overweight adolescents [47] | poorer attention regulation [48,49]; impaired control over eating behaviour [49] | impaired optimization of positive emotions [50] |
self-reported health | → poorer general health [27]; more somatic symptoms [28] | → poorer general health [32,51]; see also [28,34] | → poorer general health [33,34] | → poorer general health [52,53] |
healthcare utilization | → increased frequency of doctor visits [32] | increased use of hospital emergency department [54] | increased likelihood of nursing home admission [55] | |
cognitive functioning | impaired cognitive abilities [56,57]; → cognitive decline and dementia [58–61] | |||
immune functioning | impaired cellular immunity [62–65]; impaired humoral immunity [42] | |||
neuroendocrine functioning | → increased cortisol response to awakening [42,66] | → increased cortisol response to awakening [67,68] | ||
inflammation | increased pro-inflammatory cytokine response to acute stress [69,70] | pro-inflammatory gene expression [71–73] | ||
mortality | → mortality [74–79] |
→ refers to prospective effects of loneliness.