Cited by 136Sleep and Wakefulness ResearchSleep and related disordersStress Responses and Cortisol

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Sleep as a Mediator of the Stress-Immune Relationship

Hall, Martica, Baum, Andrew, Buysse, Daniel J., Prigerson, Holly G., Kupfer, David J., Reynolds, Charles F.·1998·Psychosomatic Medicine

DOI 10.1097/00006842-199801000-00011

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Abstract

OBJECTIVE: To evaluate the role of sleep in the relationship of intrusive thoughts/avoidance behaviors to natural killer cell (NKC) number and function. METHOD: Twenty-nine individuals seeking treatment for bereavement-related depression were studied in the sleep laboratory. Background and clinical variables, including the Impact of Event Scale (IES) and the Hamilton Rating Scale for Depression (HRSD), were administered during the week preceding a 3-night sleep study. Blood samples were collected upon awakening after the second or third night of sleep. RESULTS: Greater frequency of intrusive thoughts and avoidance behaviors was associated with more time spent awake during the first non-rapid eye movement period (NREM-1) and lower NKC number (p values < .01). Greater time spent awake during NREM-1 was associated with lower NKC numbers (p < .05). Regression analyses revealed that the significant relationship between symptoms of intrusion/avoidance and NKC number was no longer significant when time spent awake during NREM-1 was entered into the regression equation. Time spent awake during NREM-1 accounted for 12% of the variance in NKC number (p < .05), whereas intrusion/avoidance accounted for 7% of the variance in NKC number (NS). CONCLUSIONS: These results suggest that EEG-assessed sleep may be a significant correlate of the stress-immune relationship.

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Authors: Hall, M., Baum, A., Buysse, D. J., Prigerson, H. G., Kupfer, D. J., & Reynolds, C. F.
Affiliations: University of Pittsburgh (US)
ORCID: Hall, Martica
Baum, Andrew
Buysse, Daniel J.
Prigerson, Holly G.
Kupfer, David J.
Reynolds, Charles F.
Venue: Psychosomatic Medicine
Publisher: Ovid Technologies (Wolters Kluwer Health)
Published: 1998
Volume: 60
Issue: 1
Pages: 48-51
ISSN: 0033-3174 (ISSN-L)
DOI: 10.1097/00006842-199801000-00011
OpenAlex: W2011727241
Cited by: 136
References: 21
Citations by year: 2026: 1 · 2024: 3 · 2023: 1 · 2022: 2 · 2021: 3 · 2020: 6 · 2019: 4 · 2018: 3 · 2017: 5 · 2016: 2 · 2015: 4 · 2014: 6 · 2013: 7 · 2012: 3
FWCI: 3.61
Type: journal article
Language: en
Open access: closed
Locations: Psychosomatic Medicine (publishedVersion)
PubMed (publishedVersion)
Funders: National Institute of Mental Health (MH-52247, P30MH052247, MH-37869, R01MH037869, MH30915)
Topics: Life Sciences › Neuroscience › Cognitive Neuroscience › Sleep and Wakefulness Research
Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
Life Sciences › Neuroscience › Behavioral Neuroscience › Stress Responses and Cortisol
Keywords: sleep, natural killer cells, intrusive thoughts, avoidance behavior, NREM sleep, sleep EEG, immune function, psychological stress
MeSH terms: Adult, Aged, Bereavement, Defense Mechanisms, Major Depressive Disorder, Double-Blind Method, Female, Humans, Killer Cells, Natural, Male, Middle Aged, Personality Inventory, Psychoneuroimmunology, Sleep Stages, Sleep, REM, Stress, Psychological, Polysomnography, Lymphocyte Count

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Sleep as a Mediator of the Stress-Immune Relationship

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