The associations between loneliness, social exclusion and pain in the general population: A N=502,528 cross-sectional UK Biobank study

Allen, Sarah, Gilbody, Simon, Atkin, Karl and van der Feltz-Cornelis, Christina (2020) The associations between loneliness, social exclusion and pain in the general population: A N=502,528 cross-sectional UK Biobank study. Journal of Psychiatric Research, 130. pp. 68-74. ISSN 0022-3956

Allen_et_al_2020_J_Psych_Res.pdf - Accepted Version
Available under License Creative Commons Attribution Non-commercial No Derivatives 4.0.

Download (280kB) | Preview
Official URL:


Chronic pain presents a huge burden for individuals and society and evidence suggests intrinsic links with loneliness, social exclusion and sleep. Research examining how these factors interact is warranted. We aimed to explore the relationships between social exclusion, loneliness, acute and chronic pain, and the influence of poor sleep, in the general UK population. A cross-sectional analysis of UKBiobank participants with baseline data for acute and chronic pain, loneliness and sleep. Principal components analysis (PCA) used data relating to social isolation and deprivation to establish a composite measure of social exclusion. Binary logistic regression analyses were performed. 502,528 UKBiobank participants (mean age=56.6years, 54.4%female, 94.6%white) were included in the analysis. PCA suggested three social exclusion factors “social participation”, “individual deprivation” and “area deprivation”. Loneliness significantly predicted acute (OR:1.887;95%CI1.857-1.917) and chronic pain (OR:1.843;95%CI1.816–1.870). Each social exclusion factor alone and in combination significantly predicted pain with largest effects for individuals scoring high on all social exclusion factors, for acute (OR:2.087;95%CI2.026-2.150) and chronic (OR:2.314;95%CI2.249-2.380) pain. Coefficients remained statistically significant when models were adjusted for demographics and sleep. Social exclusion (as a multifaceted construct) and loneliness are associated with an increased prevalence of acute and chronic pain. Poor sleep has a potential mediating effect on these associations. Exploration of the incidence of pain in loneliness and social exclusion in the general population is warranted. From a public health perspective these findings could be used to design social interventions to prevent or manage pain and mitigate social exclusion.

Item Type: Article
Uncontrolled Keywords: Social exclusion, Public health, Pain, UKBiobank, Loneliness, Sleep
Subjects: A300 Clinical Medicine
C800 Psychology
Department: Faculties > Health and Life Sciences > Psychology
Depositing User: Rachel Branson
Date Deposited: 18 Aug 2022 14:18
Last Modified: 18 Aug 2022 14:30

Actions (login required)

View Item View Item


Downloads per month over past year

View more statistics