Evidence map›Paper›PMID 39288835›Full record

ArticleJournal of affective disorders2025

Neuroticism, loneliness, all-cause and cause-specific mortality: A 17-year study of nearly 500,000 individuals.

Karley Greer Deason, Martina Luchetti, Selin Karakose, Yannick Stephan, Páraic S O'Súilleabháin, Andre Hajek, Angelina R Sutin, Antonio Terracciano

Abstract read
In one paragraph

Article in Journal of affective disorders, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Association Between Loneliness and Hikikomori Symptoms. A Systematic Review and Meta-Analysis.International journal of methods in psychiatric research · 2026
    Pooled it
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  16. Personality and falls: evidence from three samples.The journals of gerontology. Series B, Psychological sciences and social sciences · 2025
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  20. Loneliness Links Adverse Childhood Experiences to Mortality Risk Across 26 Years.The journals of gerontology. Series B, Psychological sciences and social sciences · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Karley Greer DeasonFlorida State University College of Medicine, Tallahassee, USA.
Martina LuchettiFlorida State University College of Medicine, Tallahassee, USA.
Selin KarakoseFlorida State University College of Medicine, Tallahassee, USA.
Yannick StephanUniversity of Montpellier, Euromov, UFRSTAPS, Montpellier, France.
Páraic S O'SúilleabháinUniversity of Limerick, Limerick, Ireland; Health Research Institute, University of Limerick, Ireland.
Andre HajekDepartment of Health Economics and Health Services Research, University Medical Center Hamburg-Eppendorf, Hamburg Center for Health Economics, Hamburg, Germany.
Angelina R SutinFlorida State University College of Medicine, Tallahassee, USA.
Antonio TerraccianoFlorida State University College of Medicine, Tallahassee, USA. Electronic address: antonio.terracciano@med.fsu.edu.

Funding

Prenatal and Early Life Antecedents of Personality: An Intergenerational Lifespan ApproachR01AG053297 · NIA · FLORIDA STATE UNIVERSITY · PI Angelina R Sutin · 2017 to 2026
$4.3M
Personality and Dementia: Mechanisms and TrajectoriesR01AG068093 · NIA · FLORIDA STATE UNIVERSITY · PI TERRACCIANO, ANTONIO · 2020 to 2024
$3.0M
Prenatal and Early Life Antecedents of Personality: An Intergenerational Lifespan ApproachRF1AG053297 · NIA · FLORIDA STATE UNIVERSITY · PI SUTIN, ANGELINA R · 2023 to 2023
$2.2M
NIA NIH HHS R01 AG053297NIA NIH HHS R01 AG068093NIA NIH HHS RF1 AG053297
6 · The paper itself

Abstract

backgroundNeuroticism is related to mental and physical health. This study examined whether neuroticism and its underlying components were associated with risk of all-cause and cause-specific mortality.

methodsCommunity-dwelling adults (N = 491,323) in the UK Biobank completed a neuroticism scale between 2006 and 2010. Vital status was tracked up to December 2022 via linkage with the UK National Health Service.

resultsOver 17 years of follow-up, 43,400 (8.8 %) participants died. Accounting for age, sex, and ethnicity, participants who scored 1 SD higher on neuroticism had a 10 % greater risk of dying (HR = 1.10, 95%CI = 1.09-1.11), an association that remained significant but was explained partly by socioeconomic status, health behaviors, and chronic conditions. Item-level analyses found that loneliness was the neuroticism item most predictive of mortality (HR = 1.46, 95%CI = 1.43-1.49), especially in males. Neuroticism and loneliness were more predictive of mortality among relatively younger adults and those with lower education. Among the causes of death, neuroticism and loneliness had the strongest association with deaths due to intentional self-harm, respiratory and digestive system diseases. LIMITATIONS: Loneliness was assessed with a single item. The associations could be due to increases in neuroticism and loneliness approaching death. However, contrary to expectations from reverse causality, the associations were similar when excluding deaths within the first five or ten years of follow-up. Future research should examine whether findings from this high-income country replicate in middle- and lower-income communities.

conclusionsLoneliness was the component of neuroticism most strongly associated with premature mortality, including from intentional self-harm, respiratory, and digestive system causes of death.

Indexed as

Cause of DeathLonelinessNeuroticismAdultAgedFemaleHumansMaleMiddle AgedMortalityRisk FactorsUnited KingdomAgeLonelinessLongevityMortalityNeuroticismSuicide

Identifiers

PMID39288835
PMCPMC11840298

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.