4.1 Review

Social dimensions of chronic respiratory disease: stigma, isolation, and loneliness

Journal

CURRENT OPINION IN SUPPORTIVE AND PALLIATIVE CARE
Volume 16, Issue 4, Pages 195-202

Publisher

LIPPINCOTT WILLIAMS & WILKINS
DOI: 10.1097/SPC.0000000000000616

Keywords

chronic respiratory disease; loneliness; review; social isolation; stigma

Funding

  1. National Institute for Health and Care Research (NIHR) Career Development Fellowship [CDF-2017-10-009]
  2. NIHR Collaborationfor Leadership in Applied Health Research and CareSouth London, now recommissioned as NIHR AppliedResearch Collaboration South London
  3. NIH Rresearch partnership [NIHR135171]
  4. NIHR
  5. National Institutes of Health Research (NIHR) [NIHR135171] Funding Source: National Institutes of Health Research (NIHR)

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This review examines recent advances in understanding social concepts, such as stigma, social isolation, and loneliness, in the context of chronic respiratory disease.
Purpose of reviewSocial wellbeing is a core component of heath. However, people with chronic respiratory disease report unmet social needs, particularly in relation to stigma, social isolation, and loneliness. This review considers recent advances in understanding these social concepts within the context of chronic respiratory disease.Recent findingsA growing body of qualitative work illustrates the detrimental impacts of stigma in chronic respiratory disease, contributing towards poorer psychological health and self-management, and reduced engagement with professional support. Stigma, alongside physical limitations stemming from respiratory symptoms, can also contribute to social isolation and loneliness. Social isolation and loneliness are associated with poorer mental health and quality of life, declines in function, and in some cases, increased hospital admissions. Although close or cohabiting relationships can ameliorate some social challenges, isolation and loneliness can also impact informal carers of people with chronic respiratory disease.Increasing evidence illustrates the direct and indirect influences of social dimensions on health outcomes for people living with chronic respiratory disease. Although there is increased understanding of the lived experiences of stigma, less is understood about the complexities of social isolation and loneliness in chronic respiratory disease, and optimal interventions to address social challenges.

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