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Background:   The importance of social connectedness in supporting public mental health is well established. However, the reverse causal pathway (that psychological ill-health leads to reduced social connectedness) remains a dominant perspective among mental health practitioners. Our analysis aimed to provide a rigorous test of the directionality of this relationship.Method:   A cross-lagged panel analysis of a large longitudinal national probability sample ( N ≈ 21,227), the New Zealand Attitudes and Values Survey, was used to assess the bidirectional longitudinal relationship between social connectedness and mental health, controlling for baseline levels of both variables and demographics.Results:   Social connectedness was found to be a stronger and more consistent predictor of mental health year-on-year than mental health was of social connectedness.Conclusion:   These results further demonstrate how the psychological resources conferred by social connectedness can act as a ‘social cure’ for psychological ill-health, and provide the strongest evidence to date for the direction of this relationship in the general community.

Social connectedness improves public mental health: Investigating bidirectional relationships in the New Zealand attitudes and values survey