Soledad y aislamiento social
LowConditionalin favorRecommendation: Se sugiere intervenir sobre la soledad y el aislamiento social.
Rationale
Intervening on loneliness and social isolation addresses a relevant risk factor associated with higher mortality and with cardiovascular events, and cognitive restructuring strategies prove to be the most effective, although the magnitude of the intervention's effect remains uncertain. The certainty of the evidence for the critical outcomes is low. This is why the recommendation is conditional in favor, because the balance between benefits and harms is favorable, albeit with lower certainty.
Cautions and contraindications
Before intervening on social connection, consider the person's preferences, autonomy, and context, and individualize the approach while respecting their decisions. Pay attention to situations such as severe isolation, grief, and psychosocial risk that require more intensive support. Advise seeking professional care in the presence of warning signs regarding the person's mood and safety, and refer to psychosocial support and, where appropriate, mental health care when the situation requires it. Reassess the course periodically.
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