Mental Health Archive

Staying connected to friends, neighbors, and your community may protect your heart.

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The lonely hearts club may be larger than you realize. About a third of older adults say they frequently feel lonely, according to findings from the National Social Life, Health, and Aging Project. And only about half of Americans have meaningful in-person social interactions on a daily basis, such as having an extended conversation with a friend or spending time with family members, suggests a recent survey by the global health service company Cigna.

People whose main social contacts were at their place of work often feel that loss acutely after they retire. Many older adults are also at risk for isolation and loneliness because they're divorced or have lost a partner. But a lack of caring companionship (including from family, friends, or a romantic partner) may make you more vulnerable to a number of health woes. In fact, several studies suggest that isolated and lonely people face a slightly higher risk of heart attack or stroke than people with stronger social networks.

It might seem like retirement is a time to take it easy and devote yourself to gardening, golfing, and napping. But don't take it too easy, say Harvard experts. For optimal well-being, you need to stay engaged — with your own interests as well as with other people.

Making the change

Newly retired men face some typical difficulties. One is creating a new routine after leaving behind the nine-to-five grind. "During that phase of going from a lot of structure to almost no structure, men can exhibit the same signs as someone who is overworked," explains Dr. Randall Paulsen, a psychiatrist at Harvard-affiliated Brigham and Women's Hospital.

Growing your real-life social network is important for health. Consider these ideas to get started.

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When we're young, networking can be an important strategy to get ahead in business. Making new acquaintances and building relationships can lead to career opportunities. But later in life, networking takes on new significance: you may need it to stay connected socially. "Your social network shrinks. Your children leave home, you're no longer at work, or you've moved away. And that can lead to isolation and loneliness unless you maintain or rebuild your network," says Dr. Joel Salinas, a neurologist who specializes in behavioral neurology and neuropsychiatry at Harvard-affiliated Massachusetts General Hospital.

Isolation and loneliness

Many studies have linked isolation (being cut off from social contact) with a greater chance of having a heart attack or a stroke. A study published online March 27, 2018, by Heart suggested that isolation was independently associated with a 25% to 32% increased risk of death among people followed for seven years who had already had a heart attack or stroke.

This heart rhythm disorder is linked to thinking and memory problems. But anti-clotting drugs may lower the risk.

Bouts of atrial fibrillation, or afib — a rapid, chaotic heartbeat — make some people feel lightheaded and dizzy, while others don't notice any symptoms. But the most serious threat of this condition is the higher risk of stroke among people with afib compared with those without the disorder (see "Blood clot dangers, large and small"). Now, there's a growing recognition that people with afib also face an increased risk of thinking and memory problems — even if they do not experience a stroke.

Known as cognitive impairment, these problems include trouble remembering, learning new things, concentrating, or making routine decisions. The presumed underlying cause? Tiny blood clots that cause "silent" (that is, unrecognized) strokes and gradually injure parts of the brain involved with cognition.

Research we're watching

If you're able to quickly shrug off stressful events, that may be good for your health. A study in the March 19 issue of Psychological Science found that people who held on to stress—those who reported still having negative feelings about a stressful event the day after it happened — had more chronic health problems a decade later.

Researchers analyzed data from a nationwide survey that asked more than 1,100 adults about the number and type of stressful experiences they had each day for eight days. These included everything from arguments with others to problems at work, home, or school. Participants rated their emotional reactions to these stressors at the time and afterward.

Mindfulness is the practice of purposely focusing your attention on the present moment, such as how the air smells and feels as you walk your dog, or how a bite of bread tastes with dinner. The ultimate goal is to help shift your thoughts away from your usual preoccupations toward an appreciation of the moment and a larger perspective on life.

Scientific examination of mindfulness shows that it can improve both physical and psychological symptoms and create positive changes in health attitudes and behaviors.