Social Support Mediates Loneliness and Human Herpesvirus Type 6 (HHV-6) Antibody Titers.

The current study investigated the impact of a severe environmental stressor and the role that declining social integration played in mediating its effect on loneliness and immune status. Increased loneliness and decreased social support in the months following the stressor (storm) were significantly associated with increased HHV-6 antibody titers, reflecting poorer control over the virus. Poorer social integration mediated the relationship between loneliness and HHV-6, even after controlling for nonspecific polyclonal B-cell activation, disease status (CD3+CD4+ cell counts), living arrangements, acute social losses (bereavement), and potential disruptions in social-support resources. These findings suggest that specific elements of social support may explain the oft-noted negative effects of loneliness on the immune system, and generalized to a medically vulnerable population.

[1]  N. Schneiderman,et al.  Optimism, distress, and immunologic status in HIV-infected gay men following hurricane andrew , 2000 .

[2]  H. Engler,et al.  Social stress, dominance and blood cellular immunity , 1999, Journal of Neuroimmunology.

[3]  S. Schleifer,et al.  Depression and immunity: clinical factors and therapeutic course , 1999, Psychiatry Research.

[4]  C. Chan,et al.  Cellular immunity to varicella-zoster virus in patients with major depression. , 1998, The Journal of infectious diseases.

[5]  D. Frasca,et al.  Psychoneuroimmunology and Aging , 1998, Gerontology.

[6]  I. Wiklund,et al.  The feeling of loneliness prior to coronary artery bypass grafting might be a predictor of short-and long-term postoperative mortality. , 1998, European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery.

[7]  H. Engler,et al.  Effects of acute and chronic social stress on blood cellular immunity in rats , 1998, Physiology & Behavior.

[8]  J. Sheridan,et al.  The Influence of Psychological Stress on the Immune Response to Vaccines a , 1998, Annals of the New York Academy of Sciences.

[9]  N. Schneiderman,et al.  Changes in Cognitive Coping Skills and Social Support During Cognitive Behavioral Stress Management Intervention and Distress Outcomes in Symptomatic Human Immunodeficiency Virus (HIV)-Seropositive Gay Men , 1998, Psychosomatic medicine.

[10]  S L Hooper,et al.  Hormonal, immunological, and hematological responses to intensified training in elite swimmers. , 1997, Medicine and science in sports and exercise.

[11]  D. Ablashi,et al.  Longitudinal follow-up of two AIDS patients for active human herpesvirus-6 (HHV-6) infection. , 1997, In Vivo.

[12]  J. Kiecolt-Glaser,et al.  Chronic stress modulates the virus-specific immune response to latent herpes simplex virus Type 1 , 1997, Annals of behavioral medicine : a publication of the Society of Behavioral Medicine.

[13]  Shelley E. Taylor,et al.  Social relationships and immune processes in HIV seropositive gay and bisexual men , 1997, Annals of behavioral medicine : a publication of the Society of Behavioral Medicine.

[14]  N. Schneiderman,et al.  Coping self-efficacy buffers psychological and physiological disturbances in HIV-infected men following a natural disaster. , 1997, Health psychology : official journal of the Division of Health Psychology, American Psychological Association.

[15]  N. Schneiderman,et al.  Posttraumatic Stress Symptoms, Intrusive Thoughts, Loss, and Immune Function after Hurricane Andrew , 1997, Psychosomatic medicine.

[16]  J. Fahey,et al.  Shaking up Immunity: Psychological and Immunologic Changes after a Natural Disaster , 1997, Psychosomatic medicine.

[17]  J. Kenardy,et al.  Psychosocial sequelae of the 1989 Newcastle earthquake: II. Exposure and morbidity profiles during the first 2 years post-disaster , 1997, Psychological Medicine.

[18]  C. Coe,et al.  Psychological disturbance differentially alters CD4 + and CD8 + leukocytes in the blood and intrathecal compartments , 1996, Journal of Neuroimmunology.

[19]  P. Mirandola,et al.  Human herpesvirus 6 in human immunodeficiency virus‐infected individuals: Association with early histologic phases of lymphadenopathy syndrome but not with malignant lymphoproliferative disorders , 1996, Journal of medical virology.

[20]  D. Carrigan,et al.  Active HHV-6 infection in the lymph nodes of HIV-infected patients: in vitro evidence that HHV-6 can break HIV latency. , 1996, Journal of acquired immune deficiency syndromes and human retrovirology : official publication of the International Retrovirology Association.

[21]  Fabrizio Jossa,et al.  Long-Term Psychological Effects of Natural Disasters , 1996, Psychosomatic medicine.

[22]  M. Antoni,et al.  Social support and its relationship to psychological, physical health, and immune variables in HIV‐infection , 1995 .

[23]  E. Noji,et al.  Long-term effects of Hurricane Andrew: revisiting mental health indicators. , 1995, Disasters.

[24]  E. Muñoz,et al.  Human herpesvirus-6 and the course of human immunodeficiency virus infection. , 1995, Journal of acquired immune deficiency syndromes and human retrovirology : official publication of the International Retrovirology Association.

[25]  J. DiPaolo,et al.  Human herpesvirus 6 as a potential copathogen. , 1995, Trends in microbiology.

[26]  J. Kenardy,et al.  Psychosocial sequelae of the 1989 Newcastle earthquake: I. Community disaster experiences and psychological morbidity 6 months post-disaster , 1995, Psychological Medicine.

[27]  A. Garzino-Demo,et al.  Infection of gamma/delta T lymphocytes by human herpesvirus 6: transcriptional induction of CD4 and susceptibility to HIV infection , 1995, The Journal of experimental medicine.

[28]  P. Lusso,et al.  Human herpesvirus 6 in AIDS , 1994, The Lancet.

[29]  D. Carrigan,et al.  Disseminated active HHV-6 infections in patients with AIDS , 1994, The Lancet.

[30]  N. Schneiderman,et al.  Emotional disclosure through writing or speaking modulates latent Epstein-Barr virus antibody titers. , 1994, Journal of consulting and clinical psychology.

[31]  B. Lima,et al.  Emotional Distress in Disaster Victims: A Follow-Up Study , 1993, The Journal of nervous and mental disease.

[32]  T. Coates,et al.  Determinants of social support among gay men: the context of AIDS. , 1993, Journal of Health and Social Behavior.

[33]  T. Coates,et al.  Social support, AIDS-related symptoms, and depression among gay men. , 1992, Journal of consulting and clinical psychology.

[34]  D. Anderson HIV can be transmitted from asymptomatic carriers. , 1991, American Family Physician.

[35]  J. Davidson,et al.  Post-traumatic stress disorder in the community: an epidemiological study , 1991, Psychological Medicine.

[36]  O. J. Trask,et al.  Spousal caregivers of dementia victims: longitudinal changes in immunity and health. , 1991, Psychosomatic medicine.

[37]  L Bickman,et al.  Psychological impairment in the wake of disaster: the disaster-psychopathology relationship. , 1991, Psychological bulletin.

[38]  F. Lori,et al.  Induction of CD4 and susceptibility to HIV-1 infection in human CD8+ T lymphocytes by human herpesvirus 6 , 1991, Nature.

[39]  S. Chauncey,et al.  The social support networks of gay men with AIDS , 1990 .

[40]  R. Baron,et al.  Social support and immune function among spouses of cancer patients. , 1990, Journal of personality and social psychology.

[41]  N. Schneiderman,et al.  Changes in immune and psychological measures as a function of anticipation and reaction to news of HIV‐1 antibody status. , 1990, Psychosomatic medicine.

[42]  N. Schneiderman,et al.  Psychoneuroimmunology and HIV-1. , 1990, Journal of consulting and clinical psychology.

[43]  F. Fawzy,et al.  The relationship of social support to physical and psychological aspects of AIDS , 1989 .

[44]  J. Martin,et al.  Psychological consequences of AIDS-related bereavement among gay men. , 1988, Journal of consulting and clinical psychology.

[45]  J. Kiecolt-Glaser,et al.  Marital discord and immunity in males. , 1988, Psychosomatic medicine.

[46]  H P Godfrey,et al.  Some normative, reliability, and factor analytic data for the revised UCLA Loneliness Scale. , 1988, Journal of clinical psychology.

[47]  B. Lima,et al.  Screening for the psychological consequences of a major disaster in a developing country: Armero, Colombia , 1987, Acta psychiatrica Scandinavica.

[48]  J. Kiecolt-Glaser,et al.  Stress-associated depression in cellular immunity: Implications for acquired immune deficiency syndrome (AIDS) , 1987, Brain, Behavior, and Immunity.

[49]  Melinda Beck,et al.  Stress-related immune suppression: Health implications , 1987, Brain, Behavior, and Immunity.

[50]  C E Speicher,et al.  Marital quality, marital disruption, and immune function. , 1987, Psychosomatic medicine.

[51]  Ronald Glaser,et al.  Stress, loneliness, and changes in herpesvirus latency , 1985, Journal of Behavioral Medicine.

[52]  T. Wills,et al.  Stress, social support, and the buffering hypothesis. , 1985, Psychological bulletin.

[53]  G. Adams,et al.  Mount Saint Helens's ashfall: Evidence for a disaster stress reaction. , 1984 .

[54]  J. Kiecolt-Glaser,et al.  Psychosocial Modifiers of Immunocompetence in Medical Students , 1984, Psychosomatic medicine.

[55]  C E Speicher,et al.  Urinary Cortisol Levels, Cellular Immunocompetency, and Loneliness in Psychiatric Inpatients , 1984, Psychosomatic medicine.

[56]  E. Wagner,et al.  The epidemiologic evidence for a relationship between social support and health. , 1983, American journal of epidemiology.

[57]  Sheldon Cohen,et al.  Positive Events and Social Supports as Buffers of Life Change Stress , 1983 .

[58]  M. Minkler,et al.  Social support and health. , 1982, Patient education newsletter.

[59]  D. Russell,et al.  The revised UCLA Loneliness Scale: concurrent and discriminant validity evidence. , 1980, Journal of personality and social psychology.

[60]  Richard R. Lau,et al.  Attributions in the Sports Pages , 1980 .

[61]  D. Russell,et al.  Developing a measure of loneliness. , 1978, Journal of personality assessment.

[62]  S. Folstein,et al.  "Mini-mental state". A practical method for grading the cognitive state of patients for the clinician. , 1975, Journal of psychiatric research.

[63]  Fritsche Ha,et al.  The determination of serum immunoglobulins by automated nephelometric analysis. , 1975 .

[64]  M. Hamilton A RATING SCALE FOR DEPRESSION , 1960, Journal of neurology, neurosurgery, and psychiatry.

[65]  D. Perkins,et al.  Progression to AIDS: the effects of stress, depressive symptoms, and social support. , 1999, Psychosomatic medicine.

[66]  N. Schneiderman,et al.  Acute and sustained effects of anxiety on immune status and social support in HIV+ gay men following Hurricane Andrew , 1999 .

[67]  B. Penninx,et al.  Effects of social support and personal coping resources on depressive symptoms: different for various chronic diseases? , 1998, Health psychology : official journal of the Division of Health Psychology, American Psychological Association.

[68]  N. Schneiderman,et al.  8.10 – HIV and AIDS , 1998 .

[69]  S. Cole,et al.  Social relationships and the progression of human immunodeficiency virus infection: A review of evidence and possible underlying mechanisms , 1998, Annals of behavioral medicine : a publication of the Society of Behavioral Medicine.

[70]  Michel Hersen,et al.  Comprehensive clinical psychology , 1998 .

[71]  N. Schneiderman,et al.  Social support buffers PTSD symptoms and HHV-6 antibody titers in HIV+ gay men following hurricane Andrew , 1998 .

[72]  P. Schnurr Trauma, PTSD, and Physical Health , 1996 .

[73]  M. Luppi,et al.  The new lymphotropic herpesviruses (HHV-6, HHV-7, HHV-8) and hepatitis C virus (HCV) in human lymphoproliferative diseases: an overview. , 1996, Haematologica.

[74]  N. Schneiderman,et al.  Psychiatric morbidity following Hurricane Andrew. , 1996, Journal of traumatic stress.

[75]  N. Schneiderman,et al.  Distress, denial, and low adherence to behavioral interventions predict faster disease progression in gay men infected with human immunodeficiency virus , 1994, International journal of behavioral medicine.

[76]  D. Perkins,et al.  Longitudinal study of social support and social conflict as predictors of depression and dysphoria among HIV‐positive and HTV‐negative gay men , 1994 .

[77]  D. Perkins,et al.  Coping with the threat of AIDS: the role of social support. , 1992, The American journal of psychiatry.

[78]  P. Lusso Human herpesvirus-6 may be a cofactor in AIDS. , 1991, American Family Physician.

[79]  R. Bond,et al.  Major depressive disorder and immunity. Role of age, sex, severity, and hospitalization. , 1989, Archives of general psychiatry.

[80]  D. Kaloupek,et al.  Psychological investigation of genital herpes recurrence: prospective assessment and cognitive-behavioral intervention for a chronic physical disorder. , 1988, Health Psychology.

[81]  Sheldon Cohen,et al.  Psychosocial models of the role of social support in the etiology of physical disease. , 1988, Health psychology : official journal of the Division of Health Psychology, American Psychological Association.

[82]  G. Adams,et al.  Mount Saint Helens's ashfall. Evidence for a disaster stress reaction. , 1984, The American psychologist.

[83]  H. Fritsche,et al.  The determination of serum immunoglobulins by automated nephelometric analysis. , 1975, The American journal of medical technology.

[84]  R. Weiss The provisions of social relationships , 1974 .