Social networks and neurological illness

Dhand, Amar; Luke, Douglas A.; Lang, Catherine E.; J, Lee

doi:10.1038/nrneurol.2016.119

Cited by 65 publications

(70 citation statements)

References 54 publications

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“…This study has shown that, in a cohort of individuals with MSA and PSP and their carers, connection was a prevailing concern, with subthemes of affected social life, communication impairment, perception of stigma, and impact on relationships. In neurological disorders, it has been shown that individuals who have wider social networks and better support tend to have better outcomes [30]. Social isolation has been found to be a predictor for further ischaemic events after stroke [31].…”

Section: Discussionmentioning

confidence: 99%

The Importance of Connection to Others in QoL in MSA and PSP

Wiblin

Durcan

Lee

et al. 2017

Parkinson's Disease

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Multiple System Atrophy (MSA) and Progressive Supranuclear Palsy (PSP) are atypical Parkinsonian disorders with extended morbidity and reduced lifespan, known to have marked and early impact upon quality of life (QoL). This study aimed to address the lack of studies in the literature regarding personal perspectives on QoL in MSA and PSP in both patients and carers. Participants took part in qualitative, in-depth interviews in the North East of England, exploring what impacts their QoL and their experiences of living with these complex conditions. Connection to others was found to be a prevailing theme, encompassing difficulty communicating, social isolation, impact on personal relationships, and stigma. This work is helpful in that it emphasises the personal experiences of these patients and carers, which can provide insights into important areas for clinical service planning and best clinical management of individual patients as well as considerations for future research into QoL in these rare disorders.

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Section: Discussionmentioning

confidence: 99%

The Importance of Connection to Others in QoL in MSA and PSP

Wiblin

Durcan

Lee

et al. 2017

Parkinson's Disease

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“…Social networks and interpersonal interaction are critically involved in neurobiological processes (Dhand et al, 2016). This has been suggested in the literature both from animal models, showing that social isolation affects neuroplasticity in the mature brain, and from observational studies, showing that loneliness is associated with an increased risk of late-onset dementia and correlates with worse outcomes after stroke (Cacioppo, Fowler, & Christakis, 2009;Ieraci, Mallei, & Popoli, 2016;Wilson et al, 2007).…”

Section: So Cial C Apital and Neurolog Ic Al Conditionsmentioning

confidence: 92%

“…Dhand and colleagues have recently proposed a comprehensive framework for advancing social network science in neurology, which involves the characterization of social networks in patients with common neurological disorders, the identification of the mechanisms regulating the interplay between the social networks and neurological outcomes, and finally the evaluation of potential network interventions (Dhand et al, 2016). Dhand and colleagues have recently proposed a comprehensive framework for advancing social network science in neurology, which involves the characterization of social networks in patients with common neurological disorders, the identification of the mechanisms regulating the interplay between the social networks and neurological outcomes, and finally the evaluation of potential network interventions (Dhand et al, 2016).…”

Section: So Cial C Apital and Neurolog Ic Al Conditionsmentioning

confidence: 99%

Social capital: Implications for neurology

2018

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Social capital (SC) is a broad term that encompasses the many resources derived from social connections. The contemporary study of SC in public health has deep roots in the related fields of sociology, economics, and politics. Its multidisciplinary nature and the varying potential ways it could affect individuals have resulted in different but overlapping models to approach SC in the health field. There are currently no standardized measures of SC, and even more challenging its impact on health outcomes seems to vary according to the level of analysis. Despite the accumulating evidence that supports a protective effect of SC on mental and physical health, and mortality, not enough attention has been paid to the potential drawbacks of SC. The role of SC in neurological disease is just beginning to be explored. Concerted efforts are needed to ensure that empirical evidence on SC could be properly translated into interventions for health‐promoting purposes. In this paper, we review the current state of scientific knowledge on the subject of SC, with a focus on its application in the field of neurology.

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“…The social impact of cardiovascular diseases is substantial and understudied 1. Contraction of patients’ social network occurs after stroke 2.…”

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confidence: 99%

Social Network Trajectories in Myocardial Infarction Versus Ischemic Stroke

Dhand

Longstreth

Chaves

et al. 2018

JAHA

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BackgroundChanges in social networks are rarely examined before and after various diseases because of insufficient data. CHS (The Cardiovascular Health Study) offers an opportunity to compare social network trajectories surrounding well‐adjudicated myocardial infarction (MI) or stroke events. We tested the hypothesis that social networks will be stable after MI and decrease after stroke.Methods and ResultsWe examined trajectories of the Lubben Social Network Scale score (LSNS, range 0–50) before and after vascular events over 11 years. The LSNS assesses engagement in family networks, friends’ networks, and social supports. We used a linear mixed model with repeated measures and fixed effects to compare the change in social network score before and after events in 395 people with MI and 382 with ischemic stroke. Over a mean of 12.4 years of follow‐up for MI and 11.1 years for stroke, we examined an average of 4 social network scores for each participant. We controlled for sociodemographics, baseline cognitive function, and comorbidities. The participants’ mean age was 73.5, 51% were women, and 88% were non‐Hispanic white. After MI, the social network trajectory remained stable compared with the baseline trajectory (−0.06 points per year, adjusted P=0.2356). After stroke, the social network trajectory declined compared with the baseline trajectory (−0.14 points per year, adjusted P=0.0364).ConclusionsSocial networks remained stable after MI and declined after stroke. This small and persistent decline after adjustment for potential confounders is notable because it deviates from stable network trajectories found in CHS participants and is specific to stroke.

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Social networks and neurological illness

Cited by 65 publications

References 54 publications

The Importance of Connection to Others in QoL in MSA and PSP

The Importance of Connection to Others in QoL in MSA and PSP

Social capital: Implications for neurology

Social Network Trajectories in Myocardial Infarction Versus Ischemic Stroke

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