HIV 血清阳性和血清阴性男同性恋者的反复丧亲之痛、抑郁情绪及免疫参数

Repeated bereavement, depressed mood, and immune parameters in HIV seropositive and seronegative gay men.

作者信息

Kemeny M E, Weiner H, Taylor S E, Schneider S, Visscher B, Fahey J L

机构信息

Department of Psychiatry and Biobehavioral Sciences, School of Medicine, University of California, Los Angeles 90024.

出版信息

Health Psychol. 1994 Jan;13(1):14-24. doi: 10.1037//0278-6133.13.1.14.

Abstract

The relationships among bereavement, depressed mood, and immunologic patterns prognostic for the development of acquired immunodeficiency syndrome (AIDS) were determined in a sample of human immunodeficiency virus (HIV) seropositive gay men and a comparison group of HIV seronegative gay men. Immunologic parameters were assessed in 45 men who had recently experienced the deaths of close friends and 45 matched nonbereaved men. No immune differences were found between bereaved and nonbereaved men. Among the HIV seropositive nonbereaved men, higher depressed mood was significantly associated with fewer CD4 (helper/inducer) T lymphocytes, more activated CD8 (suppressor/cytotoxic) T cells, and lower proliferative responses to the mitogen phytohemagglutinin. In summary, HIV seropositive men who reported higher levels of depressed mood not associated with bereavement demonstrated immunologic patterns consistent with HIV activity and progression.

摘要

在一组人类免疫缺陷病毒(HIV)血清反应呈阳性的男同性恋者样本以及一组HIV血清反应呈阴性的男同性恋者对照组中,研究了丧亲之痛、抑郁情绪与后天免疫缺陷综合征(AIDS)发展的预后免疫模式之间的关系。对45名近期经历亲密朋友死亡的男性和45名匹配的未经历丧亲之痛的男性进行了免疫参数评估。经历丧亲之痛的男性和未经历丧亲之痛的男性之间未发现免疫差异。在HIV血清反应呈阳性且未经历丧亲之痛的男性中,较高的抑郁情绪与较少的CD4(辅助/诱导)T淋巴细胞、较多的活化CD8(抑制/细胞毒性)T细胞以及对丝裂原植物血凝素的较低增殖反应显著相关。总之,报告有较高抑郁情绪且与丧亲之痛无关的HIV血清反应呈阳性男性表现出与HIV活动和进展一致的免疫模式。

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