A robust body of scientific evidence indicates that being embedded in high-quality close relationships and feeling socially connected to the people in your life is associated with decreased risk for all-cause mortality as well as a range of disease morbidities. Despite mounting evidence that the magnitude of these associations is comparable to many leading health determinants (that receive significant public health resources), government agencies, healthcare providers and associations, and public/private healthcare funders are slow to recognize human social relationships as either a health determinant or health risk marker in a manner that is comparable to other public health priorities. This article evaluates current evidence (on social relationships and health) according to criteria commonly used in determining public health priorities. The piece discusses challenges for reducing risk in this area and outlines an agenda for integrating social relationships into current public health priorities. Social Relationships and Public Health

An integrative framework is proposed for understanding how multiple biological and psychological systems are regulated in the context of adult attachment relationships, dysregulated by separation and loss experiences, and, potentially, re-regulated through individual recovery efforts. Evidence is reviewed for a coregulatory model of normative attachment, defined as a pattern of interwoven physiology between romantic partners that results from the conditioning of biological reward systems and the emergence of felt security within adult pair bonds. The loss of coregulation can portend a state of biobehavioral dysregulation, ranging from diffuse psychophysiological arousal and disorganization to a full-blown (and highly organized) stress response. The major task for successful recovery is adopting a self-regulatory strategy that attenuates the dysregulating effects of the attachment disruption. Research evidence is reviewed across multiple levels of analysis, and the article concludes with a series of testable research questions on the interconnected nature of attachment, loss, and recovery processes.

We describe Social Baseline Theory (SBT), a perspective that integrates the study of social relationships with principles of attachment, behavioral ecology, cognitive neuroscience, and perception science. SBT suggests the human brain expects access to social relationships that mitigate risk and diminish the level of effort needed to meet a variety of goals. This is accomplished in part by incorporating relational partners into neural representations of the self. By contrast, decreased access to relational partners increases cognitive and physiological effort. Relationship disruptions entail re-defining the self as independent, which implies greater risk, increased effort, and diminished well being. The ungrafting of the self and other may mediate recovery from relationship loss.

This paper examined the emotional sequelae of nonmarital relationship dissolution among 58 young adults. Participants were recruited while in a serious dating relationship, and when it ended, were signaled randomly with beepers for 28 days to complete an emotions diary. Compared to participants in intact dating relationships, dissolution participants reported more emotional volatility, especially immediately following the breakup. Multilevel growth modeling showed a linear decline in love and curvilinear patterns for sadness, anger, and relief. Contact with a former partner slowed the decline for love and sadness, and attachment style and the impact of the breakup predicted the emotional start‐points and rate(s) of change over time. The results are discussed in terms of the functional role of postrelationship emotions as well as the importance of understanding patterns of intraindividual variability and differential predictors of emotional change.

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