Skip to main content
Log in

Stress, loneliness, and changes in herpesvirus latency

  • Published:
Journal of Behavioral Medicine Aims and scope Submit manuscript

Abstract

This study used a prospective design to examine the influence of examination stress and loneliness on herpesvirus latency as measured by changes in antibody levels to three herpesviruses, Epstein-Barr virus (EBV), Herpes simplex type I (HSV-1), and cytomegalovirus (CMV). Three blood samples were obtained from 49 first-year medical students, with the first sample drawn 1 month before final examinations, the second on the first day of final examinations, and the third during the first week after their return from summer vacation. A median split on the UCLA Loneliness Scale divided subjects into high- and low-scoring loneliness groups. There were significant changes in the antibody titers to all three herpesviruses across the sample points, with the lowest levels found in the third (low stress) sample. High-loneliness subjects had significantly higher EBV antibody titers than low-loneliness subjects. These data suggest that stress-related immunosuppression can significantly modulate herpesvirus latency.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  • Adam, E. (1982). Herpes simplex virus infections. In Glaser, R., and Gottleibtematsky, T. (eds.),Human Herpesvirus Infections: Clinical Aspects, Marcel Dekker, New York.

    Google Scholar 

  • Ader, R. (1980). Psychosomatic and psychoimmunologic research.Psychosom. Med. 42: 307–321.

    PubMed  Google Scholar 

  • Alford, C. A. (1981). Epidemiology of cytomegalovirus. In Nagmias, A. J., Dowdle, W. R., and Schlanazi, R. F. (eds.),The Human Herpesviruses: An Interdisciplinary Perspective, Elsevier, North-Holland, New York.

    Google Scholar 

  • Armitage, P. (1971).Statistical Methods in Medical Research, Blackwell Scientific, Oxford, England.

    Google Scholar 

  • Bartrop, R. W., Luckhurst, E., Lazarus, L., Kiloh, L. G., and Penny, R. (1977). Depressed lymphocyte function after bereavement.Lancet 1: 834–836.

    PubMed  Google Scholar 

  • Coe, C. L., Weiner, S. G., Rosenberg, L. T., and Levine, S. (1984). Endocrine and immune responses to separation and maternal loss in non-human primates. In Reite, M., and Field, T. (eds.),The Biology of Social Attachment, Academic Press, New York (in press).

    Google Scholar 

  • Cohen, S., and McKay, G. (1984). Social support, stress, and the buffering hypothesis: An empirical review. In Baum, A., Singer, J. E., and Taylor, S. E. (eds.),Handbook of Psychology and Health, Vol. 4, Hillsdale, N.J., Erlbaum, pp. 253–267.

    Google Scholar 

  • Cohen-Cole, S., Cogen, R., Stevens, A., Kirk, K., Gaitan, E., Hain, J., and Freeman, A. (1981). Psychosocial, endocrine, and immune factors in acute necrotizing ulcerative gingivitis (“trench mouth”).Psychosom. Med. 43: 91.

    Google Scholar 

  • Derogatis, L. R., and Spencer, P. M. (1982).The Brief Symptom Inventory (BSI): Administration, Scoring, and Procedures Manual—I, Clinical Psychometrics Research, Baltimore.

    Google Scholar 

  • Glaser, R., and Gottlieb-Stematsky, T. (eds.) (1982).Human Herpesvirus Infections: Clinical Aspects, Marcel Dekker, New York.

    Google Scholar 

  • Glaser, R., Nonoyama, M., Decker, B., and Rapp, F. (1973). Synthesis of Epstein-Barr virus antigens and DNA in activated Burkitt somatic cell hybrids.Virology 55: 62–69.

    PubMed  Google Scholar 

  • Halonen, P. E., Rimon, R., Arohonka, K., and Jantti, V. (1974). Antibody levels to herpes simplex type 1, measles, and rubella viruses in psychiatric patients.Br. J. Psychiat. 125: 461–465.

    Google Scholar 

  • Harada, S., Bechtold, T., Seeley, J. K., and Purtilo, D. T. (1982). Cell-mediated immunity to Epstein-Barr virus (EBV) and natural killer (NK)-cell activity in the X-linked lymphoproliferative syndrome.Int. J. Cancer 30: 734–744.

    Google Scholar 

  • Henle, W., and Henle, G. (1982). Epstein-Barr virus and infectious mononucleosis. In Glaser, R., and Gottleib-Stematsky, T. (eds.),Human Herpesvirus Infections: Clinical Aspects, Marcel Dekker, New York.

    Google Scholar 

  • Henry, B. E., Glaser, R., Hewetson, J., and O'Callaghan, D. J. (1978). Expression of altered ribonucleotide reductase activity associated with the replication of the Epstein-Barr virus.Virology 89: 262–271.

    PubMed  Google Scholar 

  • Ho, M. (1977). Virus infections after transplantation in man. Brief review.Arch. Virol. 55: 1–24.

    PubMed  Google Scholar 

  • Jemmott, J. B., III, Borysenko, J. Z., Borysenko, M., McClelland, D. C., Chapman, R., Meyer, D., and Benson, H. (1983). Academic stress, power motivation, and decrease in secretion rate of salivary secretory immunoglobulin A.Lancet 1: 1400–1402.

    PubMed  Google Scholar 

  • Kasl, S. V., Evans, A. S., and Neiderman, J. C. (1979). Psychosocial risk factors in the development of infectious mononucleosis.Psychosom. Med. 41: 445–466.

    PubMed  Google Scholar 

  • Kiecolt-Glaser, J. K., and Greenberg, B. (1984b). Social support as a moderator of stress in female psychiatric inpatients.J. Abnorm. Psychol. 93: 192–199.

    PubMed  Google Scholar 

  • Kiecolt-Glaser, J. K., Garner, W., Speicher, C. E., Penn, G. M., Holliday, J., and Glaser, R. (1984a). Psychosocial modifiers of immunocompetence in medical students.Psychosom. Med. 46: 7–14.

    PubMed  Google Scholar 

  • Kiecolt-Glaser, J. K., Ricker, D., George, J., Messick, G., Speicher, C. E., Garner, W., and Glaser, R. (1984b). Urinary cortisol levels, cellular immunocompetency, and loneliness in psychiatric patients.Psychosom. Med. 46: 15–24.

    PubMed  Google Scholar 

  • Kiecolt-Glaser, J. K., Speicher, C. E., Holliday, J. E., and Glaser, R. (1984c). Stress and the transformation of lymphocytes by Epstein-Barr virus.J. Behav. Med. 7: 1–12.

    PubMed  Google Scholar 

  • Klein, E., Ernberg, I., Masucci, M. G., Szigeti, R., Wu, Y. T., Masucci, G., and Svedmyr, E. (1981). T-cell response to B-cells and Epstein-Barr virus antigens in infectious mononucleosis.Cancer Res. 41: 4210–4215.

    PubMed  Google Scholar 

  • Laudenlager, M. L., Ryan, S. M., Drugan, R. C., Hyson, R. L., and Maier, S. F. (1983). Coping and immunosuppression: Inescapable but not escapable shock suppresses lymphocyte proliferation.Science 221: 568–570.

    PubMed  Google Scholar 

  • Luborsky, L., Mintz, J., Brightman, V. J., and Katcher, A. H. (1976). Herpes simplex and moods: A longitudinal study.J. Psychosom. Res. 20: 543–548.

    PubMed  Google Scholar 

  • Lycke, E., Norrby, E., and Roos, B. E. (1974). Serological study of mentally ill patients with particular reference to the prevalence of herpes virus infections.Br. J. Psychiat. 124: 273–279.

    Google Scholar 

  • Monjan, A. A. (1981). Stress and immunologic competence: Studies in animals. In Ader, R. (ed.),Psychoneuroimmunology, Academic Press, New York.

    Google Scholar 

  • Palmbald, J., Petrini, B., Wasserman, J., and Akerstedt, T. (1979). Lymphocyte and granulocyte reactions during sleep deprivation.Psychosom. Med. 41: 273–278.

    PubMed  Google Scholar 

  • Oakes, J. E., Davis, W. B., Taylor J. A., and Weppner, W. A. (1980). Lymphocyte reactivity contributes to protection conferred by specific antibody passively transferred to herpes simplex virus-infected mice.Infect. Immun. 29: 642–649.

    PubMed  Google Scholar 

  • Openshaw, H., Sekizawa, T., Wohlenberg, C., and Notkins, A. L. (1981). The role of immunity in latency and reactivation of herpes simplex viruses. In Nahmias, A. J., Dowdle, W. R., and Schlanazi, R. F. (eds.),The Human Herpesviruses: An Interdisciplinary Perspective, Elsevier, North-Holland, New York.

    Google Scholar 

  • Rickinson, A. B., Moss, D. J., Pope, J. H., and Ahlberg, N. (1980). Long-term T-cell-mediated immunity to Epstein-Barr virus in man. IV. Development of T-cell memory in convalescent infectious mononucleosis patients.Int. J. Cancer 25: 59–65.

    PubMed  Google Scholar 

  • Rickinson, A. B., Moss, D. J., Wallace, L. E., Rowe, M., Misko, I. S., Epstein, M. A., and Pope, J. H. (1981). Long-Term T-cell-mediated immunity to Epstein-Barr virus.Cancer Res. 41: 4216–4221.

    PubMed  Google Scholar 

  • Russell, D., Peplau, L. A., and Cutrona, C. E. (1980). The revised UCLA Loneliness Scale: Concurrent and discriminant validity evidence.J. Pers. Soc. Psychol. 39: 472–480.

    PubMed  Google Scholar 

  • Solomon, G. F. (1981). Emotional and personality factors in the onset and course of autoimmune disease, particularly rheumatoid arthritis. In Ader, R. (ed.),Psychoneuroimmunology, Academic Press, New York.

    Google Scholar 

  • Sullivan, J. L., and Hanshaw, J. B. (1982). Human cytomegalovirus infections. In Glaser, R., and Gottlieb-Stematsky, T. (eds.),Human Herpesvirus Infections: Clinical Aspects, Marcel Dekker, New York.

    Google Scholar 

  • Tuckwiller, L. S., and Glaser, R. (1983). Epstein-Barr virus and nasopharyngeal carcinoma. In Reznick-Schuller (ed.),Comparative Respiratory Tract Carcinogenesis, CRC Press, Cleveland, Ohio, pp. 171–185.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Additional information

This study was supported in part by funds from the Bremer Foundation and the Samuel J. Roessler Foundation, by federal funds administered through the Work-Study Program of The Ohio State University, and by The Ohio State University Comprehensive Cancer Center Grant CA-16058-09, from the National Cancer Institute, National Institutes of Health.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Glaser, R., Kiecolt-Glaser, J.K., Speicher, C.E. et al. Stress, loneliness, and changes in herpesvirus latency. J Behav Med 8, 249–260 (1985). https://doi.org/10.1007/BF00870312

Download citation

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF00870312

Key words

Navigation