Vitlic Ana, Phillips Anna C, Gallagher Stephen, Oliver Chris, Lord Janet M, Moss Paul
School of Sport and Exercise Sciences, University of Birmingham, UK; MRC-Arthritis Research UK Centre for Musculoskeletal Ageing Research, University of Birmingham, UK.
Br J Health Psychol. 2015 Feb;20(1):68-84. doi: 10.1111/bjhp.12092. Epub 2014 Apr 23.
This analysis examines whether or not younger caregivers, parents of children with developmental disabilities, differed from controls in terms of cytomegalovirus (CMV) seropositivity and CMV-specific antibody titre. Secondly, it examined whether any particular socio-demographics, health behaviours, or psychological/caregiving variables were associated with a higher CMV antibody titre among caregivers.
Young caregivers and age- and sex-matched controls were compared with respect to their reported health behaviour and psychosocial status as well as latent virus control.
One hundred and seventeen parents of children with developmental disabilities and 52 control parents completed standard measures of health behaviours, socio-demographics, perceived stress, depression and anxiety, caregiver burden, child problem behaviours. They also provided a blood sample assayed for the presence of CMV-specific antibody.
Caregivers were no more likely to be CMV positive than controls and did not have higher antibody titres against CMV. In addition, there was no association between CMV antibody titre in seropositive caregivers and any of the psychological/caregiving variables. However, higher CMV antibody titres were significantly associated with a higher BMI, lower exercise levels, smoking, and lower fruit and vegetable and fat intake among seropositive caregivers.
These data suggest that in the absence of immunosenescence, the chronic stress of caregiving is not sufficient to compromise the immune response to persistent CMV infection. However, an indirect mechanism to poorer health in caregivers might be via adoption of disadvantageous health behaviours in response to stress. Statement of contribution What is already known on this subject? Older caregivers of spouses with dementia show a poorer immune response against latent viruses when compared to age- and sex-matched controls. Younger parental caregivers of children with developmental disabilities show a poorer antibody response to vaccination. What does this study add? The study showed no association between caregiving stress and CMV antibody titre in young caregivers. There were higher CMV antibody titres in the caregivers who engage in unhealthy behaviours.
本分析旨在研究患有发育障碍儿童的年轻照料者(父母)与对照组在巨细胞病毒(CMV)血清阳性率和CMV特异性抗体滴度方面是否存在差异。其次,研究是否有任何特定的社会人口统计学特征、健康行为或心理/照料变量与照料者中较高的CMV抗体滴度相关。
将年轻照料者与年龄和性别匹配的对照组在报告的健康行为、心理社会状况以及潜伏病毒控制方面进行比较。
117名患有发育障碍儿童的父母和52名对照父母完成了健康行为、社会人口统计学特征、感知压力、抑郁和焦虑、照料者负担、儿童问题行为的标准测量。他们还提供了一份血液样本,用于检测CMV特异性抗体的存在。
照料者CMV阳性的可能性并不比对照组高,且针对CMV的抗体滴度也不更高。此外,血清阳性照料者的CMV抗体滴度与任何心理/照料变量之间均无关联。然而,在血清阳性照料者中,较高的CMV抗体滴度与较高的体重指数、较低的运动水平、吸烟以及较低的水果、蔬菜和脂肪摄入量显著相关。
这些数据表明,在没有免疫衰老的情况下,照料的慢性压力不足以损害对持续性CMV感染的免疫反应。然而,照料者健康状况较差的一种间接机制可能是通过采取不利的健康行为来应对压力。贡献声明关于该主题已知的内容有哪些?与年龄和性别匹配的对照组相比,患有痴呆症配偶的老年照料者对潜伏病毒的免疫反应较差。患有发育障碍儿童的年轻父母照料者对疫苗接种的抗体反应较差。本研究增加了什么内容?该研究表明年轻照料者的照料压力与CMV抗体滴度之间无关联。从事不健康行为的照料者中CMV抗体滴度较高。