| Stressful Feelings May Influence Vaccine Effectiveness | |
Researchers at the School of Sport and Exercise Sciences and the School of
Medicine at the University of Birmingham in England asked 60 first-year
undergraduate students to answer a battery of questions about their life events,
perceived stress, psychological well-being, coping styles, social support and
health behaviors.
The researchers also took blood samples to measure the concentration of
protective meningitis C antibodies in the students. All of the students had
previously received a meningitis C vaccine as part of a recently introduced
national health program.
The results revealed that a high level of perceived life stress, but not actual
stress, was associated with low antibody levels. A low level of psychological
well being -- feeling anxious or under strain, for example -- was also linked to
low antibody levels.
The antibody concentrations did not appear to be associated with the amount of
time between the meningitis C vaccination and the antibody tests, the students'
demographics or the students' health behaviors, however.
"These findings suggest that the feeling that one's life is stressful and the
experience of high levels of distress were more detrimental than actual exposure
to stressful life events," write Victoria E. Burns, Ph.D., and colleagues in the
November/December issue of the journal Psychosomatic Medicine.
"The association between stress and vaccination response has potentially
important clinical implications," the authors conclude. "In light of our
findings, it may be important to monitor subsequent antibody status,
particularly in those reporting high perceived stress and low levels of
psychological well being."
The authors note that their research supports other studies that have found
associations between psychological influences and antibody response to hepatitis
B, influenza, and rubella vaccines. However, theirs is the first study to show
that psychological factors are associated with antibody response to a conjugate
vaccine, a vaccine type used to protect against meningitis C.
Meningitis is an inflammation of the membranes covering the brain and spinal
cord. Bacterial meningitis, including meningitis C, is less common than viral
meningitis, but can be life-threatening.
Bacterial meningitis often appears as single cases, but small outbreaks at
institutions such as colleges or schools sometimes arise. In the United Kingdom,
the meningitis C vaccine is routinely given to students before they enter a
university, the study authors write.
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