Affective reactivity to daily stressors is associated with elevated inflammation
Open accessAbstract
OBJECTIVE: Inflammation increases the risk of chronic diseases, but the links between emotional responses to daily events and inflammation are unknown. We examined individual differences in affective reactivity to daily stressors (i.e., changes in positive and negative affect in response to stressors) as predictors of inflammatory markers interleukin-6 (IL-6) and C-reactive protein (CRP). METHODS: A cross-sectional sample of 872 adults from the National Study of Daily Experiences (substudy of Midlife in the United States II) reported daily stressors and affect during telephone interviews for 8 days. Blood samples were obtained at a separate clinic visit and assayed for inflammatory markers. Multilevel models estimated trait affective reactivity slopes for each participant, which were inputted into regression models to predict inflammation. RESULTS: People who experienced greater decreases in positive affect on days when stressors occurred (i.e., positive affect reactivity) had elevated log IL-6, independent of demographic, physical, psychological, and behavioral factors (B = 1.12, SE = 0.45, p = .01). Heightened negative affect reactivity was associated with higher log CRP among women (p = .03) but not men (p = .57); health behaviors accounted for this association in women. CONCLUSIONS: Adults who fail to maintain positive affect when faced with minor stressors in everyday life appear to have elevated levels of IL-6, a marker of inflammation. Women who experience increased negative affect when faced with minor stressors may be at particular risk of elevated inflammation. These findings add to growing evidence regarding the health implications of affective reactivity to daily stressors.
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Either high negative or low positive affect in response to minor daily stressors, measured each evening over at least a week (interpreted as poor recovery from daily stress), predicts worse long-term mental and physical health.
“Specifically, either high negative or low positive affect in response to minor daily stressors, measured each evening over at least a week (interpreted as poor recovery from daily stress) predicts worse long-term mental and physical health (Mroczek et al., 2015; Piazza et al., 2013; Sin et al., 2015).”
From More than a feeling: A unified view of stress measurement for population science (2018) · cites this paper as Sin et al., 2015
The Introduction (Emotional reactions to daily stressors) reports that affective reactivity is associated with mental disorders, chronic medical conditions, and mortality up to a decade later. This paper measured affect across eight days, but its own findings concern inflammation, not long-term mental or physical health; its Limitations section calls the design cross-sectional. It also defines reactivity as the difference between stressor and nonstressor days, rather than establishing that the evening reports measure poor recovery. (LLM, conf=0.86)
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- Authors
- Sin, N. L., Graham-Engeland, J. E., Ong, A. D., & Almeida, D. M.
- Affiliations
- Pennsylvania State University (US)
- Venue
- Health Psychology
- Published
- 2015-12
- Volume
- 34
- Issue
- 12
- Pages
- 1154-1165
- ISSN
- 0278-6133 (ISSN-L)
- 1930-7810
- PMC
- PMC4666844
- OpenAlex
- W2188292488
- Cited by
- 188
- References
- 88
- Citations by year
- 2026: 11 · 2025: 23 · 2024: 14 · 2023: 14 · 2022: 26 · 2021: 21 · 2020: 20 · 2019: 14 · 2018: 19 · 2017: 9 · 2016: 14 · 2015: 2
- FWCI
- 7.63
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Locations
- Health Psychology (publishedVersion, other-oa)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute on Aging (F32AG048698, P01-AG020166)
- Topics
- Life Sciences › Neuroscience › Behavioral Neuroscience › Stress Responses and Cortisol
- Life Sciences › Neuroscience › Biological Psychiatry › Tryptophan and brain disorders
- Social Sciences › Health › Health disparities and outcomes
- Keywords
- emotional reactivity, daily hassles, inflammation, interleukin-6, C-reactive protein, positive affect, negative affect, sex differences, health behavior, chronic disease risk
- MeSH terms
- Adult, Affect, Aged, C-Reactive Protein, Chronic Disease, Cross-Sectional Studies, Female, Humans, Individuality, Inflammation, Male, Middle Aged, Sex Factors, Stress, Psychological, United States, Biomarkers, Interleukin-6
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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