Abstract
Loneliness is a complex biological trait that has been associated with numerous negative health outcomes. The measurement and environmental determinants of loneliness are well understood, but its genetic basis is not. Previous studies have estimated the heritability of loneliness between 37 and 55% using twins and family-based approaches, and have explored the role of specific candidate genes. We used genotypic and phenotypic data from 10 760 individuals aged ⩾50 years that were collected by the Health and Retirement Study (HRS) to perform the first genome-wide association study of loneliness. No associations reached genome-wide significance (p>5 × 10−8). Furthermore, none of the previously published associations between variants within candidate genes (BDNF, OXTR, RORA, GRM8, CHRNA4, IL-1A, CRHR1, MTHFR, DRD2, APOE) and loneliness were replicated (p>0.05), despite our much larger sample size. We estimated the chip heritability of loneliness and examined coheritability between loneliness and several personality and psychiatric traits. Our estimates of chip heritability (14–27%) support a role for common genetic variation. We identified strong genetic correlations between loneliness, neuroticism, and a scale of ‘depressive symptoms.’ We also identified weaker evidence for coheritability with extraversion, schizophrenia, bipolar disorder, and major depressive disorder. We conclude that loneliness, as defined in this study, is a modestly heritable trait that has a highly polygenic genetic architecture. The coheritability between loneliness and neuroticism may reflect the role of negative affectivity that is common to both traits. Our results also reflect the value of studies that probe the common genetic basis of salutary social bonds and clinically defined psychiatric disorders.
Similar content being viewed by others
Log in or create a free account to read this content
Gain free access to this article, as well as selected content from this journal and more on nature.com
or
References
Adam EK, Hawkley LC, Kudielka BM, Cacioppo JT (2006). Day-to-day dynamics of experience—-cortisol associations in a population-based sample of older adults. Proc Natl Acad Sci USA 103: 17058–17063.
Bartels M, Cacioppo JT, Hudziak JJ, Boomsma DI (2008). Genetic and environmental contributions to stability in loneliness throughout childhood. Am J Med Genet B Neuropsychiatr Genet 147: 385–391.
Baumeister R, DeWall N (2005). The inner dimension of social exclusion: intelligent thought and self-regulation among rejected persons. In Williams K, Forgas J, Von Hippel W (eds). The Social Outcast: Ostracism, Social Exclusion, Rejection, and Bullying. Psychology Press: New York. pp 53–76.
Boomsma DI, Cacioppo JT, Muthen B, Asparouhov T, Clark S (2007). Longitudinal genetic analysis for loneliness in Dutch twins. Twin Res Hum Genet 10: 267–273.
Boomsma DI, Cacioppo JT, Slagboom PE, Posthuma D (2006). Genetic linkage and association analysis for loneliness in Dutch twin and sibling pairs points to a region on chromosome 12q23-24. Behav Genet 36: 137–146.
Boomsma DI, Willemsen G, Dolan CV, Hawkley LC, Cacioppo JT (2005). Genetic and environmental contributions to loneliness in adults: the Netherlands twin register study. Behav Genet 35: 745–752.
Booth R (2000). Loneliness as a component of psychiatric disorders. Medscape Gen Med 2: 1–7.
Bulik-Sullivan B, Finucane HK, Anttila V, Gusev A, Day FR, Loh P-R ReproGen Consortium, Psychiatric Genomics Consortium, Genetic Consortium for Anorexia Nervosa of the Wellcome Trust Case Control Consortium 3 et al (2015a). An atlas of genetic correlations across human diseases and traits. Nat Genet 47: 1236–1241.
Bulik-Sullivan BK, Loh P-R, Finucane HK, Ripke S, Yang J, Patterson N et al (2015b). LD Score regression distinguishes confounding from polygenicity in genome-wide association studies. Nat Genet 47: 291–295.
Cacioppo JT, Cacioppo S, Boomsma DI (2014). Evolutionary mechanisms for loneliness. Cogn Emot 28: 3–21.
Cacioppo JT, Cacioppo S, Capitanio JP, Cole SW (2015a). The neuroendocrinology of social isolation. Annu Rev Psychol 66: 733–767.
Cacioppo JT, Ernst JM, Burleson MH, McClintock MK, Malarkey WB, Hawkley LC et al (2000). Lonely traits and concomitant physiological processes: the MacArthur social neuroscience studies. Int J Psychophysiol 35: 143–154.
Cacioppo JT, Hawkley LC, Berntson GG, Ernst JM, Gibbs AC, Stickgold R et al (2002). Do lonely days invade the nights? Potential social modulation of sleep efficiency. Psychol Sci 13: 384–387.
Cacioppo JT, Hawkley LC, Thisted RA (2010). Perceived social isolation makes me sad: 5-year cross-lagged analyses of loneliness and depressive symptomatology in the Chicago Health, Aging, and Social Relations Study. Psychol Aging 25: 453–463.
Cacioppo JT, Hughes ME, Waite LJ, Hawkley LC, Thisted RA (2006). Loneliness as a specific risk factor for depressive symptoms: cross-sectional and longitudinal analyses. Psychol Aging 21: 140–151.
Cacioppo S, Balogh S, Cacioppo JT (2015b). Implicit attention to negative social, in contrast to nonsocial, words in the Stroop task differs between individuals high and low in loneliness: Evidence from event-related brain microstates. Cortex 70: 213–233.
Cacioppo S, Grippo AJ, London S, Goossens L, Cacioppo JT (2015c). Loneliness: clinical import and interventions. Perspect Psychol Sci 10: 238–249.
Cheng R, Parker CC, Abney M, Palmer AA (2013). Practical considerations regarding the use of genotype and pedigree data to model relatedness in the context of genome-wide association studies. G3 (Bethesda) 3: 1861–1867.
Chou KL (2010). Moderating effect of apolipoprotein genotype on loneliness leading to depressive symptoms in Chinese older adults. Am J Geriatr Psychiatry 18: 313–322.
Chou KL, Cacioppo JT, Kumari M, Song YQ (2014). Influence of social environment on loneliness in older adults: Moderation by polymorphism in the CRHR1. Am J Geriatr Psychiatry 22: 510–518.
Cole SW, Hawkley LC, Arevalo JM, Cacioppo JT (2011). Transcript origin analysis identifies antigen-presenting cells as primary targets of socially regulated gene expression in leukocytes. Proc Natl Acad Sci USA 108: 3080–3085.
Cole SW, Hawkley LC, Arevalo JM, Sung CY, Rose RM, Cacioppo JT (2007). Social regulation of gene expression in human leukocytes. Genome Biol 8: R189.
Connelly JJ, Golding J, Gregory SP, Ring SM, Davis JM, Davey Smith G et al (2014). Personality, behavior and environmental features associated with OXTR genetic variants in British mothers. PLoS One 9: e90465.
Coyle CE, Dugan E (2012). Social isolation, loneliness and health among older adults. J Aging Health 24: 1346–1363.
Distel MA, Willemsen G, Ligthart L, Derom CA, Martin NG, Neale MC et al (2010). Genetic covariance structure of the four main features of borderline personality disorder. J Pers Disord 24: 427–444.
Dixon D, Cruess S, Kilbourn K, Klimas N, Fletcher MA, Ironson G et al (2006). Social Support Mediates Loneliness and Human Herpesvirus Type 6 (HHV-6) Antibody Titers. J Appl Soc Psychol 31: 1111–1132.
Doane LD, Adam EK (2010). Loneliness and cortisol: momentary, day-to-day, and trait associations. Psychoneuroendocrinology 35: 430–441.
Finucane HK, Bulik-Sullivan B, Gusev A, Trynka G, Reshef Y, Loh PR et al (2015). Partitioning heritability by functional annotation using genome-wide association summary statistics. Nat Genet 47: 1228–1235.
Glaser K, Evandrou M, Tomassini C (2005). The health consequences of multiple roles at older ages in the UK. Health Soc Care Community 13: 470–477.
Glaser R, Kiecolt-Glaser JK, Speicher CE, Holliday JE (1985). Stress, loneliness, and changes in herpesvirus latency. J Behav Med 8: 249–260.
Goossens L, van Roekel E, Verhagen M, Cacioppo JT, Cacioppo S, Maes M et al (2015). The genetics of loneliness: linking evolutionary theory to genome-wide genetics, epigenetics, and social science. Perspect Psychol Sci 10: 213–226.
Hackett RA, Hamer M, Endrighi R, Brydon L, Steptoe A (2012). Loneliness and stress-related inflammatory and neuroendocrine responses in older men and women. Psychoneuroendocrinology 37: 1801–1809.
Hart AB, de Wit H, Palmer AA (2013). Candidate gene studies of a promising intermediate phenotype: failure to replicate. Neuropsychopharmacology 38: 802–816.
Hart AB, Gamazon ER, Engelhardt BE, Sklar P, Kahler AK, Hultman CM et al (2014). Genetic variation associated with euphorigenic effects of d-amphetamine is associated with diminished risk for schizophrenia and attention deficit hyperactivity disorder. Proc Natl Acad Sci USA 111: 5968–5973.
Hawkley LC, Hughes ME, Waite LJ, Masi CM, Thisted RA, Cacioppo JT (2008). From social structural factors to perceptions of relationship quality and loneliness: The Chicago health, aging, and social relations study. J Gerontol B Psychol Sci Soc Sci 63B: S375–S384.
Hawkley LC, Masi CM, Berry JD, Cacioppo JT (2006). Loneliness is a unique predictor of age-related differences in systolic blood pressure. Psychol Aging 21: 152–164.
Hawkley LC, Preacher KJ, Cacioppo JT (2010a). Loneliness impairs daytime functioning but not sleep duration. Health Psychol 29: 124–129.
Hawkley LC, Thisted RA, Cacioppo JT (2009). Loneliness predicts reduced physical activity: cross-sectional & longitudinal analyses. Health Psychol 28: 354–363.
Hawkley LC, Thisted RA, Masi CM, Cacioppo JT (2010b). Loneliness predicts increased blood pressure: 5-year cross-lagged analyses in middle-aged and older adults. Psychol Aging 25: 132–141.
Health_and_Retirement_Study (2012). Core public use dataset. Produced and distributed by the University of Michigan with funding from the National Institute on Aging (grant number NIA U01AG009740). Ann Arbor, MI.
Holt-Lunstad J, Smith TB, Baker M, Harris T, Stephenson D (2015). Loneliness and social isolation as risk factors for mortality: a meta-analytic review. Perspect Psychol Sci 10: 227–237.
Hughes ME, Waite LJ, Hawkley LC, Cacioppo JT (2004). A short scale for measuring loneliness in large surveys: results from two population-based studies. Res Aging 26: 655–672.
International HapMap Consortium (2010). Integrating common and rare genetic variation in diverse human populations. Nature 467: 52–58.
Jacobs JM, Cohen A, Hammerman-Rozenberg R, Stessman J (2006). Global sleep satisfaction of older people: the Jerusalem Cohort Study. J Am Geriatr Soc 54: 325–329.
Jaremka LM, Fagundes CP, Peng J, Bennett JM, Glaser R, Malarkey WB et al (2013). Loneliness promotes inflammation during acute stress. Psychol Sci 24: 1089–1097.
Kiecolt-Glaser JK, Ricker D, George J, Messick G, Speicher CE, Garner W et al (1984). Urinary cortisol levels, cellular immunocompetency, and loneliness in psychiatric inpatients. Psychosom Med 46: 15–23.
Kong F, You X (2013). Loneliness and self-esteem as mediators between social support and life satisfaction in late adolescence. Soc Indic Res 110: 271–279.
Kurina LM, Knutson KL, Hawkley LC, Cacioppo JT, Lauderdale DS, Ober C (2011). Loneliness is associated with sleep fragmentation in a communal society. Sleep 34: 1519–1526.
Lan WH, Yang AC, Hwang JP, Hong CJ, Liou YJ, Yeh HL et al (2012). Association of MTHFR C677T polymorphism with loneliness but not depression in cognitively normal elderly males. Neurosci Lett 521: 88–91.
Lucht MJ, Barnow S, Sonnenfeld C, Rosenberger A, Grabe HJ, Schroeder W et al (2009). Associations between the oxytocin receptor gene (OXTR) and affect, loneliness and intelligence in normal subjects. Prog Neuropsychopharmacol Biol Psychiatry 33: 860–866.
Luo Y, Hawkley LC, Waite LJ, Cacioppo JT (2012). Loneliness, health, and mortality in old age: a national longitudinal study. Soc Sci Med 74: 907–914.
Major Depressive Disorder Working Group of the Psychiatric GWAS Consortium Major Depressive Disorder Working Group of the Psychiatric GWAS Consortium Ripke S Major Depressive Disorder Working Group of the Psychiatric GWAS Consortium Wray NR Major Depressive Disorder Working Group of the Psychiatric GWAS Consortium Lewis CM Major Depressive Disorder Working Group of the Psychiatric GWAS Consortium Hamilton SP Major Depressive Disorder Working Group of the Psychiatric GWAS Consortium Weissman MM et al (2013). A mega-analysis of genome-wide association studies for major depressive disorder. Mol Psychiatry 18: 497–511.
McGuire S, Clifford J (2000). Genetic and environmental contributions to loneliness in children. Psychol Sci 11: 487–491.
Mund M, Neyer FJ (2015). The winding paths of the lonesome cowboy: evidence for mutual influences between personality, subjective health, and loneliness. J Pers 84: 646–657.
Okbay A, Baselmans BML, De Neve J-E, Turley P, Nivard MG, Fontana MA et al. (2016). Genetic variants associated with subjective well-being, depressive symptoms, and neuroticism identified through genome-wide analyses. Nat Genet 48: 624–633.
Pressman SD, Cohen S, Miller GE, Barkin A, Rabin BS, Treanor JJ (2005). Loneliness, social network size, and immune response to influenza vaccination in college freshmen. Health Psychol 24: 297–306.
Purcell S, Neale B, Todd-Brown K, Thomas L, Ferreira MA, Bender D et al (2007). PLINK: a tool set for whole-genome association and population-based linkage analyses. Am J Hum Genet 81: 559–575.
Russell D (1996). UCLA Loneliness Scale (Version 3): Reliability, validity, and factor structure. J Pers Asses 66: 20–40.
Russell D, Peplau LA, Cutrona CE (1980). The Revised UCLA Loneliness Scale: Concurrent and discriminate validity evidence. J Personality Soc Psychol 39: 472–480.
Steptoe A, Owen N, Kunz-Ebrecht SR, Brydon L (2004). Loneliness and neuroendocrine, cardiovascular, and inflammatory stress responses in middle-aged men and women. Psychoneuroendocrinology 29: 593–611.
Straits-Tröster KA, Patterson TL, Semple SJ, Temoshok L, Roth PG, McCutchan JA et al (1994). The relationship between loneliness, interpersonal competence, and immunologic status in HIV-infected men. Psychol Health 9: 205–219.
Terracciano A, Tanaka T, Sutin AR, Sanna S, Deiana B, Lai S et al (2010). Genome-wide association scan of trait depression. Biol Psychiatry 68: 811–817.
Tsai SJ, Yeh HL, Hong CJ, Liou YJ, Yang AC, Liu ME et al (2012). Association of CHRNA4 polymorphism with depression and loneliness in elderly males. Genes Brain Behav 11: 230–234.
van Roekel E, Goossens L, Scholte RH, Engels RC, Verhagen M (2011). The dopamine D2 receptor gene, perceived parental support, and adolescent loneliness: longitudinal evidence for gene-environment interactions. J Child Psychol Psychiatry 52: 1044–1051.
van Roekel E, Scholte RH, Verhagen M, Goossens L, Engels RC (2010). Loneliness in adolescence: gene x environment interactions involving the serotonin transporter gene. J Child Psychol Psychiatry 51: 747–754.
van Roekel E, Verhagen M, Scholte RH, Kleinjan M, Goossens L, Engels RC (2013). The oxytocin receptor gene (OXTR) in relation to state levels of loneliness in adolescence: evidence for micro-level gene-environment interactions. PLoS One 8: e77689.
VanderWeele TJ, Hawkley LC, Cacioppo JT (2012). On the reciprocal association between loneliness and subjective well-being. Am J Epidemiol 176: 777–784.
VanderWeele TJ, Hawkley LC, Thisted RA, Cacioppo JT (2011). A marginal structural model analysis for loneliness: implications for intervention trials and clinical practice. J Consult Clin Psychol 79: 225–235.
Verhagen M, van Roekel E, Engels RC (2014). Involvement of the BDNF gene in loneliness in adolescence: a report of opposite gene effects in boys and girls. PLoS One 9: e92768.
Waaktaar T, Torgersen S (2012). Genetic and environmental causes of variation in perceived loneliness in young people. Am J Med Genet B Neuropsychiatr Genet 159B: 580–588.
Wang EH, Hong CJ, Yeh HL, Liou YJ, Yang AC, Liu ME et al (2013). Interleukin-1 alpha (rs1800587) genetic polymorphism is associated with specific cognitive functions but not depression or loneliness in elderly males without dementia. Neurosci Lett 556: 69–72.
Whisman MA (2010). Loneliness and the metabolic syndrome in a population-based sample of middle-aged and older adults. Health Psychol 29: 550–554.
Wilson RS, Krueger KR, Arnold SE, Schneider JA, Kelly JF, Barnes LL et al (2007). Loneliness and risk of Alzheimer disease. Arch Gen Psychiatry 64: 234–240.
Yang J, Benyamin B, McEvoy BP, Gordon S, Henders AK, Nyholt DR et al (2010). Common SNPs explain a large proportion of the heritability for human height. Nat Genet 42: 565–569.
Yang J, Lee SH, Goddard ME, Visscher PM (2011). GCTA: a tool for genome-wide complex trait analysis. Am J Hum Genet 88: 76–82.
Yang J, Lee SH, Goddard ME, Visscher PM (2013). Genome-wide complex trait analysis (GCTA): methods, data analyses, and interpretations. Methods Mol Biol 1019: 215–236.
Yang J, Zaitlen NA, Goddard ME, Visscher PM, Price AL (2014). Advantages and pitfalls in the application of mixed-model association methods. Nat Genet 46: 100–106.
Zhou X, Stephens M (2012). Genome-wide efficient mixed-model analysis for association studies. Nat Genet 44: 821–824.
Acknowledgements
We thank Hae Kyung Im for helpful conversations during the preparation of this manuscript. Research reported in this publication was supported by the National Institute on Aging of the National Institutes of Health under award number R37-AG033590 and by the National Center for the National Center of Advancing Translational Sciences of the National Institutes of Health under award number KL2TR000431 (LKD). The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health.
Author information
Authors and Affiliations
Corresponding author
Additional information
Supplementary Information accompanies the paper on the Neuropsychopharmacology website
PowerPoint slides
Rights and permissions
About this article
Cite this article
Gao, J., Davis, L., Hart, A. et al. Genome-Wide Association Study of Loneliness Demonstrates a Role for Common Variation. Neuropsychopharmacol 42, 811–821 (2017). https://doi.org/10.1038/npp.2016.197
Received:
Revised:
Accepted:
Published:
Issue date:
DOI: https://doi.org/10.1038/npp.2016.197
This article is cited by
-
Neurobiological correlates of schizophrenia-specific and highly pleiotropic genetic risk scores for neuropsychiatric disorders
Translational Psychiatry (2025)
-
A Genetically Informed Study of the Association Between Perceived Stress and Loneliness
Behavior Genetics (2024)
-
Dimensional and transdiagnostic phenotypes in psychiatric genome-wide association studies
Molecular Psychiatry (2023)
-
Identifying novel proteins underlying loneliness by integrating GWAS summary data with human brain proteomes
Neuropsychopharmacology (2023)
-
What next for eating disorder genetics? Replacing myths with facts to sharpen our understanding
Molecular Psychiatry (2022)


