Department of Biobehavioral Health, The Pennsylvania State University, University Park, Pennsylvania.
Microgen Laboratories, La Marque, Texas.
Stress Health. 2019 Oct;35(4):396-406. doi: 10.1002/smi.2867. Epub 2019 Jul 11.
The death of a spouse is a highly stressful event. Better executive functioning has been shown to benefit men to a greater degree than women during stress. We evaluated potential sex differences in stress and immune dysregulation among control and bereaved participants who completed a self-report measure of perceived stress, neuropsychological measures of inhibition and updating/monitoring of information in working memory, and a blood draw to measure Epstein-Barr virus (EBV) antibody titres. Moderation analyses were conducted to test the hypothesis that better inhibition would be associated with less stress and immune dysregulation among male bereaved participants compared with female bereaved participants. Bereaved females demonstrated greater EBV antibody titres than bereaved males. Male bereaved participants benefited from better inhibition, as evidenced by fewer EBV antibody titres, whereas bereaved female participants did not. In the control group, males with high inhibition reported lower stress than males with low inhibition. Present study results are an important step towards identifying those at greatest risk of stress and poor health.
丧偶是一件压力极大的事情。研究表明,在压力下,执行功能较好的男性比女性获益更多。我们评估了对照组和丧偶组参与者之间潜在的性别差异,这些参与者完成了感知压力的自我报告量表、工作记忆中抑制和更新/监测信息的神经心理学测试,以及抽取血液以测量 Epstein-Barr 病毒 (EBV) 抗体滴度。进行了调节分析以检验假设,即与女性丧偶参与者相比,男性丧偶参与者中更好的抑制与更少的压力和免疫失调相关。丧偶女性的 EBV 抗体滴度高于丧偶男性。丧偶男性参与者受益于更好的抑制作用,表现为 EBV 抗体滴度较低,而丧偶女性参与者则没有。在对照组中,抑制能力较高的男性报告的压力低于抑制能力较低的男性。本研究结果是朝着确定那些面临最大压力和健康不良风险的人群迈出的重要一步。