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Meta-Analysis
. 2004 Jul;130(4):601-30.
doi: 10.1037/0033-2909.130.4.601.

Psychological stress and the human immune system: a meta-analytic study of 30 years of inquiry

Suzanne C Segerstrom  1 , Gregory E Miller
Affiliations
Meta-Analysis

Psychological stress and the human immune system: a meta-analytic study of 30 years of inquiry

Suzanne C Segerstrom et al. Psychol Bull. 2004 Jul.

Abstract

The present report meta-analyzes more than 300 empirical articles describing a relationship between psychological stress and parameters of the immune system in human participants. Acute stressors (lasting minutes) were associated with potentially adaptive upregulation of some parameters of natural immunity and downregulation of some functions of specific immunity. Brief naturalistic stressors (such as exams) tended to suppress cellular immunity while preserving humoral immunity. Chronic stressors were associated with suppression of both cellular and humoral measures. Effects of event sequences varied according to the kind of event (trauma vs. loss). Subjective reports of stress generally did not associate with immune change. In some cases, physical vulnerability as a function of age or disease also increased vulnerability to immune change during stressors.

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Figures

Figure 1
Figure 1
Funnel plots depicting relationship between effect size and sample size. PHA = phytohemagglutinin.
See this image and copyright information in PMC

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