Wellness Routines
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13 sources: 2 cohort studies, 1 cross-sectional study, 2 non-randomised trials, 4 randomised controlled trials, 1 systematic review, 3 with design not recorded
Social · Concept

Belonging and Group Identification as a Mechanism

Trials and surveys of group identification and community belonging: a group-identification program reduced loneliness more than usual care, with stronger belonging to multiple groups (Haslam 2019), and community identification is reported to relate to well-being through social support and reduced loneliness (McNamara 2021).

Beta content: this dimension's review set is version 0.9-beta and upgrades in place after the Round-2 internal reviews.
Any levelAnywhere
When to seek a professional
  • Loneliness with persistent low mood, hopelessness, or thoughts of self-harm: see a clinician or mental-health professional; in crisis call or text 988
Conceptual. When choosing a group, weigh whether you would come to identify with it over whether the activity appeals.
NoneFor most adultsPeople experiencing loneliness
What the evidence says
What the sources say

The sources are trials and surveys of belonging, group identification and community identification. Haslam 2019 (randomised trial) reports that the Groups 4 Health program produced a greater reduction in loneliness (d = −1.04) and social anxiety than treatment as usual, fewer GP visits and stronger belonging to multiple groups (d = 0.52), and concludes that it can be a useful way to treat loneliness; Haslam 2016 (non-randomised trial) reports that the same program improved mental health, well-being and social connectedness at completion and 6-month follow-up, underpinned by increased social identification, and calls it promising pending randomised examination. Haslam 2010 (randomised trial) reports that only group interventions produced effective outcomes. Brady 2020 and Walton 2011 (randomised trials) report that a brief social-belonging intervention in the transition to college improved outcomes years later for Black students. Fong 2021 reports that hosting a Neighbour Day event increased neighbourhood identification, which predicted increased social cohesion, reduced loneliness and improved wellbeing, and Cruwys 2022 (quasi-experimental study) reports that Neighbour Day participants had higher neighbourhood identification and were protected against negative mental-health effects of lockdown; McNamara 2021 reports the community identification–well-being relationship mediated by social support and reduced loneliness; Wakefield 2020 (cohort) reports social prescribing associated with increased group memberships, with quality of life mediated by belonging, support and loneliness; Cruwys 2014 reports social identification predicted recovery from depression. Michalski 2020 (cross-sectional) reports weaker community belonging associated with poorer general and mental health, and Michalski 2024 (cohort) that the belonging–mortality relationship differs across age groups. Moss 2025 (scoping review of 23 studies) reports belonging associated with mental health outcomes in older Americans, with mixed effects on physical health.

Common misconceptions
  • Misconception: 'Any social contact reduces loneliness.' Interventions that add contact without building shared identity perform worse than those that do.
What we won't claim
  • Does not treat depression, anxiety or social anxiety
  • Loneliness is a normal signal, not a diagnosis
13 sources: 2 cohort studies, 1 cross-sectional study, 2 non-randomised trials, 4 randomised controlled trials, 1 systematic review, 3 with design not recorded
Agreement
Direction recorded for 0 of 13 sources; not yet recorded for the rest.
The claim's outcome
Outcome not yet recorded
Certainty
No source states a certainty rating.
Authors
Sources share authors: C. Haslam (first author of 3 sources); Camilla Michalski (first author of 2 sources); T. Cruwys (first author of 2 sources); Elizabeth Mair (senior author of 2 sources); Laura Rosella (senior author of 2 sources).
What each source measured and concluded (13)
randomised controlled trial · 2020
Brady et al. (2020) — A brief social-belonging intervention in college improves adult outcomes for black Americans
What it measured
Career satisfaction and success, psychological well-being, and community involvement and leadership.
How it measured it
Self-report composites (validated).
How it was read
read in full text
randomised controlled trial · 2011
Walton et al. (2011) — A Brief Social-Belonging Intervention Improves Academic and Health Outcomes of Minority Students
What it measured
Grade-point average (GPA).
How it measured it
Official academic transcripts (objective).
How it was read
read in full text
randomised controlled trial · 2010
Haslam et al. (2010) — The social treatment: the benefits of group interventions in residential care settings.
What it measured
Cognitive screening and well-being measures (pre- and post-intervention)
How it was read
screened only, not extracted
non-randomised trial · 2022
Cruwys et al. (2022) — A community-led intervention to build neighbourhood identification predicts better wellbeing following prolonged COVID-19 lockdowns
What it measured
Wellbeing, neighbourhood identification, social cohesion
How it was read
screened only, not extracted
cohort study · 2020
Wakefield et al. (2020) — Social Prescribing as ‘Social Cure’: A longitudinal study of the health benefits of social connectedness within a Social Prescribing pathway
What it measured
Quality-of-life and health/well-being via social connectedness
How it was read
screened only, not extracted
randomised controlled trial · 2019
Haslam et al. (2019) — GROUPS 4 HEALTH reduces loneliness and social anxiety in adults with psychological distress: Findings from a randomized controlled trial.
What it measured
Loneliness (primary); depression, social anxiety, GP visits, multiple group membership (secondary)
How it was read
screened only, not extracted
design not recorded · 2014
Cruwys et al. (2014) — Feeling connected again: interventions that increase social identification reduce depression symptoms in community and clinical settings.
What it measured
Depression symptoms
How it was read
screened only, not extracted
cross-sectional study · 2020
Michalski et al. (2020) — Relationship between sense of community belonging and self-rated health across life stages
What it measured
Self-rated general health and self-rated mental health
How it was read
screened only, not extracted
design not recorded · 2021
McNamara et al. (2021) — Community identification, social support, and loneliness: The benefits of social identification for personal well‐being
What it measured
Personal well-being and loneliness
How it was read
screened only, not extracted
cohort study · 2024
Michalski et al. (2024) — A national cohort study of community belonging and its influence on premature mortality
What it measured
Premature mortality
How it was read
screened only, not extracted
non-randomised trial · 2016
Haslam et al. (2016) — Groups 4 Health: Evidence that a social-identity intervention that builds and strengthens social group membership improves mental health.
What it measured
Mental health (depression, anxiety, stress), well-being, and social connectedness
How it was read
screened only, not extracted
design not recorded · 2021
Fong et al. (2021) — Evidence that loneliness can be reduced by a whole-of-community intervention to increase neighbourhood identification.
What it measured
Neighbourhood social identification, loneliness, wellbeing
How it was read
screened only, not extracted
systematic review · 2025
Moss et al. (2025) — Belonging and Health Outcomes in Older Americans: A Scoping Review
What it measured
Mental and physical health outcomes associated with belonging
How it was read
screened only, not extracted
What the review says it includes
Scoping review (PRISMA-ScR)
Studies and participants, as stated
23 studies included
Key sources (13)

Every source below is shown with its study design and links to the original study. This is the audit trail.

randomised controlled trialA brief social-belonging intervention in college improves adult outcomes for black AmericansShannon T. Brady, Geoffrey L. Cohen, Shoshana N. Jarvis, G. Walton (2020) · Science Advances · 10.1126/sciadv.aay3689 · full text
randomised controlled trialA Brief Social-Belonging Intervention Improves Academic and Health Outcomes of Minority StudentsG. Walton, Geoffrey L. Cohen (2011) · Science · 10.1126/science.1198364 · full text
randomised controlled trialThe social treatment: the benefits of group interventions in residential care settings.C. Haslam, S. A. Haslam, J. Jetten, A. Bevins, S. Ravenscroft, J. Tonks (2010) · Psychology and Aging · 10.1037/a0018256 · screened only
non-randomised trialA community-led intervention to build neighbourhood identification predicts better wellbeing following prolonged COVID-19 lockdownsT. Cruwys, Polly Fong, O. Evans, Joanne A. Rathbone (2022) · Frontiers in Psychology · 10.3389/fpsyg.2022.1030637 · screened only
cohort studySocial Prescribing as ‘Social Cure’: A longitudinal study of the health benefits of social connectedness within a Social Prescribing pathwayJ. Wakefield, Blerina Kellezi, Clifford Stevenson et al. (2020) · Journal of Health Psychology · 10.1177/1359105320944991 · screened only
randomised controlled trialGROUPS 4 HEALTH reduces loneliness and social anxiety in adults with psychological distress: Findings from a randomized controlled trial.C. Haslam, T. Cruwys, Melissa Xue-Ling Chang et al. (2019) · Journal of Consulting and Clinical Psychology · 10.1037/ccp0000427 · screened only
design not recordedFeeling connected again: interventions that increase social identification reduce depression symptoms in community and clinical settings.T. Cruwys, S. Alexander Haslam, G. Dingle et al. (2014) · Journal of Affective Disorders · 10.1016/j.jad.2014.02.019 · screened only
cross-sectional studyRelationship between sense of community belonging and self-rated health across life stagesCamilla A. Michalski, Lori M. Diemert, J. Helliwell, V. Goel, L. Rosella (2020) · SSM: Population Health · 10.1016/j.ssmph.2020.100676 · screened only
design not recordedCommunity identification, social support, and loneliness: The benefits of social identification for personal well‐beingN. McNamara, Clifford Stevenson, S. Costa et al. (2021) · British Journal of Social Psychology · 10.1111/bjso.12456 · screened only
cohort studyA national cohort study of community belonging and its influence on premature mortalityCamilla A. Michalski, Mack Hurst, Lori M. Diemert et al. (2024) · Journal of Epidemiology and Community Health · 10.1136/jech-2023-220688 · screened only
non-randomised trialGroups 4 Health: Evidence that a social-identity intervention that builds and strengthens social group membership improves mental health.C. Haslam, T. Cruwys, S. Haslam, G. Dingle, Melissa Xue-Ling Chang (2016) · Journal of Affective Disorders · 10.1016/j.jad.2016.01.010 · screened only
design not recordedEvidence that loneliness can be reduced by a whole-of-community intervention to increase neighbourhood identification.Polly Fong, T. Cruwys, Sam L Robinson et al. (2021) · Social Science & Medicine (1967) · 10.1016/j.socscimed.2021.113909 · screened only
systematic reviewBelonging and Health Outcomes in Older Americans: A Scoping ReviewCharlotte Moss, Zander Vasquez, Raj C. Shah (2025) · Innovation in aging · 10.1093/geroni/igaf122.3721 · screened only
Explore all 367 studies in Social →
The full evidence base this focus area draws on, every study with its design and DOI.
What it is for
Feel less lonelyFeel part of a communityJudge health claims for myself
Belonging and Group Identification as a Mechanism