[HN Gopher] Social isolation and the brain in the pandemic era
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       Social isolation and the brain in the pandemic era
        
       Author : rntn
       Score  : 53 points
       Date   : 2022-11-13 15:31 UTC (7 hours ago)
        
 (HTM) web link (www.nature.com)
 (TXT) w3m dump (www.nature.com)
        
       | Animats wrote:
       | That's a strange article. They seemed to have started with a
       | conclusion and looked for supporting data.
       | 
       | They don't seem to have controlled for reduced physical activity.
       | They even seem to claim obesity is a result of reduced social
       | contact. That's a stretch.
        
         | Clamchop wrote:
         | That doesn't seem like the correct reading to me. The health
         | consequences of isolation appears to have its own body of
         | research. The article summarizes and cites these, but doesn't
         | appear to be intended to engage with the question of what the
         | health consequences of isolation are, since those are argued or
         | established elsewhere.
         | 
         | So the question is how bad were lock downs for health, not if
         | they were bad.
         | 
         | And anyway, reduced physical activity is one such consequence
         | and it's not clear why you would control for it.
        
           | tlb wrote:
           | As an individual, your social isolation and your physical
           | activity are both independently under your control. So it's
           | useful to know their relative impacts on mental health.
           | 
           | Suppose it turned out that, when controlling for physical
           | activity, isolation had no effect on health. Then, in the
           | next pandemic, you should mostly focus on exercise. Or if
           | isolation is more important, then you should focus on that.
        
         | boopmaster wrote:
         | Agreed. Over a million dead and zero processing time to grieve,
         | and morgues overflowing such that temporary freezers are used
         | to store the dead.
         | 
         | [sarc] Not sure what about that could cause anxiety or
         | depression in anyone, they just needed to hang out more.
         | [/sarc]
        
       | SnowHill9902 wrote:
       | Pandemic <> quarantine.
        
       | ahMath8 wrote:
        
       | tjr225 wrote:
       | Cue the requisite hacker news hurfing and durfing about how this
       | is actually good due to being introverted.
        
         | giraffe_lady wrote:
         | I think in this case it will get subsumed under the more robust
         | HN consensus of "the worst thing about covid is the
         | consequences of the mitigation measures."
        
       | willnonya wrote:
       | This seems to be less a study of behavior than a hunt to justify
       | a feeling.
       | 
       | Social isolation has been an increasing part of the culture since
       | we started replacing human interaction with 'social' media. When
       | combined with the short duration of most pandemic isolation it
       | seems more like people are trying to conflate loneliness with
       | some external force rather than accepting that it is a normal
       | human state.
        
         | sacrosancty wrote:
         | I agree. It also, it's too political to take one thing
         | seriously on its own. After so many people have nailed their
         | egos to the belief that social distancing and isolation, as
         | well as mask wearing, etc. are very definitely good and that
         | anyone violating those rules is very definitely bad, it's hard
         | for them to accept that it might have been harmful. Similarly,
         | for their opponents who were offended by those measures, it's
         | hard not to go hunting for reasons why they were bad.
        
         | brnaftr361 wrote:
         | You don't think that the pandemic, the measures taken to
         | mitigate it, the fiscal and monetary policies made in attempt
         | to avert the disaster, the realized impact, and the hyper-
         | political ultrapolarized interpretations of the goings-on, and
         | the paranoia instilled at the social and individual level (and
         | etc......) couldn't possibly manifest into the future?
         | 
         | This isn't an isolated thing, it had and continues to have
         | runoff impacts. A lot of wild reactivity originated, you can
         | see that in all the economic data. It's not a "short duration"
         | it's borderline cataclysmic, maybe you're just too insulated to
         | see it.
        
         | lob_it wrote:
         | As a technology native, a quiet environment is the same feeling
         | as chilling in the zone (if working on something interesting).
         | Its not a shared experience for sure.
         | 
         | I enjoy golf the same way (chlling in the zone during a good
         | workout, similar to a runners high).
         | 
         | I also happened to enjoy over 20,000 one-on-one interactions
         | with work experience and technology, with the majority of it
         | face-to-face.
         | 
         | Being "all people'd out (not tired of people, just not seeking
         | empty calories for the sake of it)" is a 21st century perk.
         | 
         | The 1st world has always enjoyed "peace and quiet" for their
         | own personal reasons :)
        
       | taolegal wrote:
       | Humans have millions of years of evolution searing into our DNA
       | the impulse to be social creatures. And it always struck me as
       | _actually_ anti-science to be very hush-hush or even outright
       | ignorant of the profound negative consequences of social
       | isolation. Even worse that the least vulnerable should be forced
       | into social isolation.
        
       | recuter wrote:
       | Population density through out history has been far lower with
       | far fewer people around and much more spread out. People didn't
       | typically live in cities.
       | 
       | Travel was difficult and dangerous. Frequently forbidden when not
       | impractical (https://en.wikipedia.org/wiki/Freedom_of_movement).
       | 
       | If you think lockdowns in say, China, are harsh:
       | 
       | Russian Serfs were only freed 1861. Less than a century after
       | Joseph II decided to end feudalism
       | (https://en.wikipedia.org/wiki/Serfdom_Patent_(1781).
       | 
       | Some form of social isolation was the norm for most of human
       | history. So I don't think you are doomed to grow crazy if you
       | stay by yourself, we're just not used to it. No longer the norm.
       | 
       | Being left alone with a smartphone and "social" media apps
       | however might cause a person to spiral.
        
         | AntiRemoteWork wrote:
        
         | hibikir wrote:
         | Looking at population density at a global level, or at a
         | national level, is going to be giving you misleading results.
         | If your goal is to evaluate whether people in history lived
         | close to other people, you need a very different metric:
         | Population density of the neighborhood where the median person
         | lives.
         | 
         | For instance, if you look at population density overall,
         | Germany has a far higher population density than Spain. This
         | is, however, because most of Spain is empty. Even when you look
         | at rural areas, what you see is not American style homesteads,
         | but people living in a relatively dense village, and traveling
         | to their farm. In that environment, social isolation is very
         | difficult: Just buying food and going to some kind of workplace
         | leads to being very close to a whole lot more people than, say,
         | your average American does.
         | 
         | So when we go back in time in most places, we might not see
         | that much cross-settlement travel, but how dense are the
         | settlements? How much can you avoid other human beings? Just
         | like travel was dangerous, living in a place that was a long
         | distance from your next neighbor was also dangerous: The best
         | protection against attack was to have enough neighbors very
         | close, as to make it really difficult to get away with
         | attacking you. We have ruins of many settlements, going back
         | well before writing, and it's normal to see places that might
         | have housed a dozen or so families, all in screaming distance.
         | 
         | Therefore, I don't see how we can support that some form of
         | relative social isolation was the norm everywhere. If anything,
         | it's the modern American suburb, where in practice we don't
         | need to exchange a word with the neighbors, and most retail
         | transactions are impersonal, is what happens to be historically
         | novel. The pandemic just made it more extreme.
        
           | recuter wrote:
           | I like this reply and agree with most of what is written.
           | 
           | > So when we go back in time in most places, we might not see
           | that much cross-settlement travel, but how dense are the
           | settlements?
           | 
           | Depending on when and where sometimes not very dense at all.
           | 
           | > How much can you avoid other human beings?
           | 
           | You don't need to avoid anyone but going days and weeks
           | without speaking to people was not so inconceivable as it is
           | now.
           | 
           | > If anything, it's the modern American suburb, where in
           | practice we don't need to exchange a word with the neighbors,
           | and most retail transactions are impersonal, is what happens
           | to be historically novel.
           | 
           | That's the slightly different lament of not knowing your
           | neighbors. The loss of togetherness and sense of community.
           | The bad vibes. I agree with all that, you can feel more alone
           | surrounded by an ocean of people than being part of a small
           | tight knit group of people surrounded by an ocean.
           | Conversely, mental health problems have been on the rise for
           | a long time prior to the pandemic. No doubt it brought these
           | issues to the forefront and didn't help things.
           | 
           | All I pointed out is that there is no shortage of precedent
           | or examples of isolation and it does not necessarily imply
           | that your mental health _has_ to deteriorate.
           | 
           |  _Forced_ isolation or alienation from neighbors on the other
           | hand is far more likely to be harmful. So is substituting
           | actual social relationships with parasocial interactions
           | online and apps.
        
             | ch4s3 wrote:
             | There really is very little historical precedent for people
             | being totally alone, all of the example you cited are of
             | right communities, which is the opposite of alone.
             | 
             | In fact the overwhelming weight of researcher points to
             | isolation wrecking your mental health. I pointed to a meta-
             | analysis of investigations into solitary confinement
             | earlier. There's no shortage of research showing similar
             | results for contemporary non-carceral isolation. Here is an
             | analysis pointing to increased deaths from drinking and
             | drugs due to COVID isolation[1], point the opposite
             | direction of your conclusion.
             | 
             | [1] https://www.mdpi.com/1660-4601/19/19/12835
        
         | Behemoth66 wrote:
         | I believe you're confusing meeting new people and isolation.
         | 
         | Living alone was extremely rare until recent history [1]. Not
         | having freedom of movement, or not living in a city does not
         | mean social isolation. Villages back in history used to
         | celebrate holidays together, families were much larger,
         | everyone knew everyone since birth etc...
         | 
         | I just woke up but don't feel like pulling up the sources but I
         | believe the exact opposite of your statement. Social isolation
         | is a modern phenomenon that was extremely rare before in
         | history. It was incredibly difficult to survive just by
         | yourself.
         | 
         | [1] https://archive.org/details/goingsoloextraor00eric
        
         | comfypotato wrote:
         | The paper is discussing a hyper isolation that hasn't often
         | been seen historically. As stated, 1 in 10 Europeans didn't see
         | any friends or family outside of their household for an entire
         | year.
         | 
         | I do agree with you that it's ultimately apples and oranges to
         | compare our current social state to our ancestors'.
        
           | recuter wrote:
           | For a long long time 9/10 of Europeans didn't leave their
           | village for a multitude of reasons. If the village is small
           | and remote enough that's functionally the same thing.
           | 
           | When you did leave you might not see your family and friends
           | for years if you even managed to come back alive.
           | 
           | If you lived in a viking settlement or out in the wilderness
           | of the Wild West or some secret monastery at the top of a
           | mountain range in Tibet that's pretty damn isolated. Or a
           | lighthouse. Or an island. 'etc.
        
             | wwtrv wrote:
             | Well back then all of your friends and relatives were
             | probably living in the same village. Now they might be
             | spread-out over hundreds of kilometers or even much more.
             | 
             | Seems like fundamentally different situations to me.
             | 
             | > If you lived in a viking settlement or out in the
             | wilderness of the Wild West or some secret monastery at the
             | top of a mountain range in Tibet that's pretty damn
             | isolated. Or a lighthouse. Or an island. 'etc.
             | 
             | That was a statistically insignificant proportion of the
             | population even back then (assuming by 'viking settlement'
             | you mean in Greenland or something like that)
        
             | janef0421 wrote:
             | It was actually fairly rare for people to spend their
             | entire lives in their villages during the medieval era.
             | People would regularly travel within their region, and it
             | was typical for a person to undertake multiple longer
             | journeys within their lifetime, often to religious sites.
        
             | chitowneats wrote:
             | What about those of us trapped somewhere with no friends or
             | family in the local area? Serfs had their spouses,
             | children, and parents to socialize with, even when cut off
             | mostly from the rest of society.
             | 
             | Some percentage of us experienced an alone-ness that really
             | has no historical precedent. For some, it persisted many
             | months.
        
               | recuter wrote:
               | I fall into that percentage. I got stuck in a very severe
               | lockdown whilst traveling. It was unpleasant to say the
               | least.
               | 
               | However we should disentangle the stress of the
               | situation, the uncertainty about the future, the
               | arbitrary restrictions on previously taken for granted
               | personal freedoms and the abrupt change to a lifetime of
               | normalcy from the bummer of being alone.
               | 
               | Solitude and loneliness are not the same thing.
               | 
               | Some people actually thrived during lockdown. Others
               | choose to isolate with no relation to it. All I am saying
               | is that it is not written in your DNA that your mental
               | health _must_ deteriorate due to lack of socializing.
               | 
               | It is not so much unprecedented as it is unusual and
               | involuntary.
        
               | ch4s3 wrote:
               | Can you point to any research that supports your
               | extraordinary claim?
        
             | ch4s3 wrote:
             | > If the village is small and remote enough that's
             | functionally the same thing
             | 
             | No it isn't. Interacting with with 120-150 neighbors[1] on
             | a daily basis is a richer form of social interaction than
             | is available to most people in the West today. For most of
             | history people lived in groups of up to a few hundred,
             | being isolated wasn't the norm.
             | 
             | [1] https://www.encyclopedia.com/history/news-wires-white-
             | papers...
        
               | jasmer wrote:
               | My grandparents lived on a farm there was nobody around
               | for some distance.
               | 
               | And many 'villages' in Europe were just 2 or 3
               | households, not really villages.
               | 
               | I think the OP's point is reasonable for context.
        
               | recuter wrote:
               | My condolences, as it is apparently clinically
               | _impossible_ for them not to have developed severe
               | psychological issues as a result. ;)
        
               | ch4s3 wrote:
               | The discussion here is clearly about COVID isolation and
               | the wild bullshit claims you're making about history.
               | Being in a community of even 3 households isn't remotely
               | similar to a single adult in COVID isolation and that
               | should be obvious.
               | 
               | You're doing a great job ignoring any criticism of your
               | claims.
        
               | ch4s3 wrote:
               | You're talking about a completely different time period.
               | This is also historically abnormal. Premodern farmers
               | almost universally lived in villages of 100 or more
               | people. Check out some sources I linked.
               | 
               | Widely dispersed freeholding is super unstable and even
               | more so without modern tools and techniques.
        
             | comfypotato wrote:
             | You're speaking to my point. A household of 4-5 and a
             | typical village have extremely different social dynamics.
             | Similarly the groupings (villages, tribes, etc.) of primal
             | humans were much larger than a household of 4-5.
             | 
             | (Your examples of lighthouses and religious hermits are too
             | rare to be seriously compared to the average person. These
             | extreme examples are probably similar to what I'm talking
             | about, though. We just don't know as much about them as we
             | do a typical village.)
             | 
             | Pandemic aside, we live in a world where it is much more
             | possible to live in this hyper isolation than ever before.
        
         | ch4s3 wrote:
         | I'm sorry, this is nonsense. Serfs worked fields in small
         | groups in housheolds of 5-8 individuals[1] and communally
         | feasted dozens of times per year not to mention attending
         | religious services. Hunter gatherers spen(d)t hours a day just
         | gossiping[2] and engaged in communal rituals[3].
         | 
         | We also know from studying prisoners that isolation breaks
         | peoples' brains[4].
         | 
         | [1] https://acoup.blog/2020/07/24/collections-bread-how-did-
         | they...
         | 
         | [2]https://link.springer.com/article/10.1007/s12052-010-0306-1
         | 
         | [3]
         | https://www.taylorfrancis.com/chapters/edit/10.4324/97804294...
         | 
         | [4]https://www.frontiersin.org/articles/10.3389/fpsyt.2020.0084
         | ...
        
         | [deleted]
        
       | Out_of_Characte wrote:
       | The entire causal relationship of lockdowns and social isolation
       | doesn't sit right with me, I'm sure there are anxious people that
       | decided to spend more time isolated but my uncle couldn't do that
       | after a few months, got covid and died. I didn't even attempt to
       | isolate insofar friends had the same mindset and none of them
       | isolated or reduced interactions exept bars were closed. So its
       | not clear to me that people are capable of suvervising their own
       | social interactions. Maybe threatening to 'reduce social
       | interaction' had the opposite effect of creating scarcity which
       | induced demand. This would have been stating the obvious if we're
       | talking economics.
        
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