Cole · Psychoneuroendocrinology 2015 · Cross-sectional observational study · n=108

Loneliness, eudaimonia, and the human conserved transcriptional response to adversity.

Cited 240 times in the scientific literature.

Level 4 - case-series / case-control

Cross-sectional observational analysis of survey metrics and gene expression profiles.

PubMed 26246388 · doi:10.1016/j.psyneuen.2015.07.001 · record verified 2026-08-27

What was done

Researchers analyzed peripheral blood samples alongside validated measures of loneliness and eudaimonic well-being in 108 community-dwelling older adults (56% female, mean age 73) from the US Health and Retirement Study. Mixed-effect linear models evaluated associations between conserved transcriptional response to adversity (CTRA) gene expression and psychological measures in separate and joint analyses, adjusting for demographic and behavioral risk factors.

What was found

When analyzed separately, CTRA gene expression was up-regulated with loneliness and down-regulated with eudaimonic well-being. In joint models, the effect of loneliness was completely abrogated, while eudaimonic well-being remained associated with CTRA down-regulation. Similar eudaimonia-dominant associations were found for positive versus negative affect, optimism versus pessimism, and anxiety symptoms. No specific point estimates, standard errors, or p-values were reported in the abstract.

Why it matters

This study suggests that psychological resilience factors, specifically meaning and purpose in life, may offset the pro-inflammatory transcriptional changes typically associated with chronic loneliness.

Limits

The study relies on a cross-sectional design that cannot determine causality. The sample size is modest (n = 108) and limited to older adults in the US, and numerical effect sizes are not reported in the abstract.

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