Physiology & Behavior, Vol.53, pp. 449-457, 1993 0031-9384/93 $6.00 + .00
Printed in the USA. Copyright© 1993 PergamonPressLtd.
Negative Affect, Absorption, and Immunity
JOHN D. C. SHEA, *l ROBERT BURTONt AND AFAF GIRGISt
*Psychology Department, University of Newcastle, NSW Australia
and i-Medical Faculty, University of Newcastle, N S W Australia
Received 18 July 1991
SHEA, J. D. C., R. BURTON AND A. GIRGIS. Negativeaffect, absorption, and immunity. PHYSIOL BEHAV 53(3) 449-457,
1993.--Relationships between the psychological characteristics absorption and neuroticism, and in vitro and in vivo measures
of cell-mediated immunity were examined. Thirty-nine female subjects responded to questionnaires, donated blood for analysis
of T-cell numbers, and were tested for delayed hypersensitivity skin responses. Consistent with the experimental hypothesis,
subjects classified as repressors of negative affect (low absorption/low neuroticism), or extreme expressors of negative affect (high
absorption/high neuroticism), showed lower immune responses than other groups of subjects. For the in vitro T-cell measures
and the in vivo skin induration measures, there were also pervasive main effectsof neuroticism, with subjects higher in neuroticism
showing higher immunity than subjects lower in neuroticism.
Personality and immunity Psychoimmunology Behavioral immunology
Negative affect and immunity NA and immunity
Psychosocial factors and immunity
THE idea that some individuals and not others may be prone
to immune suppression has received considerable attention
over recent years (39,42). A common proposition is that some
people, through learning or biology, are more emotionally
reactive than others, as a result of which prolonged nervous
arousal and fatigue occurs (14,27). It has been proposed that
such patterns of response are associated with health problems
including immune deficits. Such people are said to score high
on trait measures of negative affect (NA) such as neuroticism,
anxiety, or emotionality measures. NA has been causally re-
lated to a variety of minor (headaches, nausea, ache) and ma-
jor (ulcers, coronary heart disease, arthritis, asthma, diabetes)
health problems (2,3,10,13,21,22,34). Power motivation, a
concept apparently related to NA, has been consistently as-
sociated with higher levels of trait anxiety and depression,
and with decreased concentrations of S-IgA (poorer immunity
is assumed) during exams. A greater amount of self-reported
illness, particularly of upper respiratory tract infections, has
also frequently been noted within these studies [for reviews,
see (22,29)]. Relatively enduring mood changes, decreases in
trait NA, with concomitant reductions in physical symptoms
and health clinic visits as well as apparent improvements in
immunity measures, seem apparent in intervention studies
using relaxation therapy (16,25,37). Thus, people high in
negative affect should show immune deficits, with or without
the immediate presence of external stressors.
However, relationships between trait NA and immunity have
rarely been investigated, and available data often contradict the
hypothesis of a negative relationship, finding no relationship
with trait NA (26) or negative effects (3,40). A major criticism
of research in this area concerns the observation that emotionally
reactive people tend to report greater levels of symptomatic dis-
tress but do not always show changes in behavioral indicators
such as absenteeism, doctors' visits, extent of current disability,
general fitness and lifestyle variables, biological markers such as
blood pressure, serum risk factors, immune system functioning,
or objective evidence of dysfunction such as mortality rates
(8,46). If anything, people low in NA may be more subject to
cardiac problems (46), and may be more likely to develop cancer
and to have lower survival rates once it is diagnosed [e.g.,
(9,19,44)]. A recent study (38) examined relationships between
measures of trait and state NA and life changes, and a variety
of cell-mediated immune responses in a small group of medical
students facing acute examination stress. The findings tended
to contradict the idea that high NA is associated with relatively
depressed immunity. Low scorers on state and trait measures
often had poor immune responses.
One popular explanation for such effects utilises the concept
of repression, and the idea that high NA scorers reduce the effects
of stressors on themselves through the expression of negative
emotion, but that repression may actually exacerbate it's effects
[e.g., (6,11,32,45)]. This viewpoint allows for the possibility also
that the group next most seriously affected by external stressors
involves individuals who are high in NA, since their emotional
responsiveness indicates relatively poor coping with the stressors
(17). Giving support to the first of these theories are studies in
which significant immunological and long-term health im-
provements have been noted to occur subsequent to therapies
which reduced emotional inhibition and enhanced self-disclosure
or feelings of emotional control [e.g., (17,18,24,28,33)].
, Requests for reprints should be addressed to John D. Shea, PhD., Psychology Department, University of Newcastle, Shortland, NSW 2308,
Australia.
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