Health Psychology

Psychological Factors and Physical Disease from the Perspective of Human Psychoneuroimmunology

Bibliographic Data

ID23364883
AuthorsSheldon Cohen (0000-0003-2248-4600, Carnegie Mellon University), Tracy B Herbert (Carnegie Mellon University)
Year1996
Volume47
Issue1
Pages113-142
Publication date1996-02-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueAnnual Review of Psychology (JOURNAL)
Journal identifiersISSN: 0066-4308 • E-ISSN: 1545-2085
PublisherAnnual Reviews (PUBLISHER • US)
DOI10.1146/annurev.psych.47.1.113
PMID8624135
OpenAlexW2134693507
LanguageEN
Citations received114
References cited136

This review addresses the importance of studies of human psychoneuroimmunology in understanding the role of psychological factors in physical illness. First, it provides psychologically and biologically plausible explanations for how psychological factors might influence immunity and immune system–mediated disease. Second, it covers substantial evidence that factors such as stress, negative affect, clinical depression, social support, and repression/denial can influence both cellular and humoral indicators of immune status and function. Third, at least in the case of the less serious infectious diseases (colds, influenza, herpes), it considers consistent and convincing evidence of links between stress and negative affect and disease onset and progression. Although still early in its development, research also suggests a role of psychological factors in autoimmune diseases. Evidence for effects of stress, depression, and repression/denial on onset and progression of AIDS and cancer is less consistent and inconclusive, possibly owing to methodological limitations inherent in studying these complex illnesses, or because psychological influences on immunity are not of the magnitude or type necessary to alter the body's response in these cases. What is missing in this literature, however, is strong evidence that the associations between psychological factors and disease that do exist are attributable to immune changes.

Affect (linguistics) · Denial · Disease · Immune system · Perspective (graphical) · Psychiatry · Psychoneuroimmunology · Psychophysiology · Psychotherapist · Clinical Psychology · Immunology · Medicine · Mental Health Research Topics · Psychology · Stress Responses and Cortisol · Tryptophan and brain disorders

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