Immunological effects of induced shame and guilt

被引:155
作者
Dickerson, SS [1 ]
Kemeny, ME
Aziz, N
Kim, KH
Fahey, JL
机构
[1] Univ Calif Los Angeles, Dept Psychol, Los Angeles, CA 90095 USA
[2] Univ Calif Los Angeles, Cousins Ctr Psychoneuroimmunol, Los Angeles, CA 90095 USA
[3] Univ Calif Los Angeles, Dept Psychiat & Biobehav Sci, Los Angeles, CA 90095 USA
[4] Univ Calif Los Angeles, Ctr Interdisciplinary Res Immunol & Dis, Los Angeles, CA 90095 USA
[5] Univ Calif Los Angeles, Dept Microbiol & Immunol, Los Angeles, CA 90024 USA
来源
PSYCHOSOMATIC MEDICINE | 2004年 / 66卷 / 01期
关键词
D O I
10.1097/01.PSY.0000097338.75454.29
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
Objective: To determine if inducing self-blame would lead to increases in shame and guilt as well as increases in proinflammatory cytokine activity and cortisol. Based on previous research and theory, it was hypothesized that induced shame would be specifically associated with elevations in proinflammatory cytokine activity. Materials and Methods: Healthy participants were randomly assigned to write about traumatic experiences in which they blamed themselves (N = 31) or neutral experiences (N = 18) during three 20-minute experimental laboratory sessions over 1 week. Tumor necrosis factor-alpha receptor levels (sTNFalphaRII), an indicator of proinflammatory cytokine activity, beta2-inicroglobulin, cortisol (all obtained from oral fluids), and emotion were assessed prewriting and postwriting. Results: Participants in the self-blame condition showed an increase in shame and guilt as well as an increase in sTNFalphaRII activity when compared with those in the control condition. Cortisol and beta2-microglobulin levels were unaffected by the procedures. Those individuals in the self-blame condition reporting the greatest increases in shame in response to the task showed the greatest elevations in proinflammatory cytokine activity, while levels of guilt and general negative emotion were unrelated to cytokine changes. Conclusion: These data suggest that inducing self-related emotions can cause changes in inflammatory products, and that shame may have specific immunological correlates.
引用
收藏
页码:124 / 131
页数:8
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