title: Associations between stress, trait negative affect, acute immune reactivity, and antibody response to hepatitis B injection in healthy young adults.
abstract: Eighty-four healthy graduate participants were administered the standard course of 3 hepatitis B vaccinations. Five months after the first dose (shortly after the second injection), each participant completed psychosocial measures, and a blood sample was drawn for determination of hepatitis B surface antibody titer. After completion of the vaccination series, participants performed an acute stress protocol, consisting of a 30-min adaptation period and a 5-min evaluative speech task. Blood was drawn at the end of the resting and task periods for assessment of cellular immune measures. Lower antibody response, as assessed after the second hepatitis B injection, was predicted independently by (a) high trait negative affect and (b) diminished T-cell proliferation in response to PHA. These data provide evidence that trait negative affect and the magnitude of stress-induced suppression of immune function may have clinical significance.
authors.affiliation: Behavioral Medicine Program, Western Psychiatric Institute and Clinic, Pittsburgh, Pennsylvania 15213-2593, USA. marslandal@msx.upmc.edu
authors.forename: A L
authors.initials: AL
authors.lastname: Marsland
authors.forename: S
authors.initials: S
authors.lastname: Cohen
authors.forename: B S
authors.initials: BS
authors.lastname: Rabin
authors.forename: S B
authors.initials: SB
authors.lastname: Manuck
mesh_terms: D000328:Adult; D000339:Affect; D000917:Antibody Formation; D002455:Cell Division; D005260:Female; D006509:Hepatitis B / Q000276:immunology* / Q000523:psychology*; D006514:Hepatitis B Surface Antigens / Q000032:analysis; D017325:Hepatitis B Vaccines / Q000276:immunology*; D006801:Humans; D007111:Immunity, Cellular / Q000276:immunology; D008297:Male; D013315:Stress, Psychological; D013601:T-Lymphocytes / Q000276:immunology
chemical_list: D006514:Hepatitis B Surface Antigens; D017325:Hepatitis B Vaccines