464 ChapTER 13 Emotion, Stress, and Health
substances (antigens), such as flu viruses, bacteria,
and tumor cells, and then destroy or deactivate
them. The immune system deploys different kinds
of white blood cells as weapons, depending on
the nature of the enemy. Natural killer cells are
important in tumor detection and rejection, and
are involved in protection against the spread of
cancer cells and viruses. Helper T cells enhance
and regulate the immune response; they are the
primary target of the HIV virus that causes AIDS.
Chemicals produced by the immune cells are sent
to the brain, and the brain in turn sends chemi
cal signals to stimulate or restrain the immune
system. Anything that disrupts this communica
tion loop, whether drugs, surgery, or chronic
stress, can weaken or suppress the immune system
(Segerstrom & Miller, 2004).
Some PNI researchers have gotten right
down to the level of cell damage to see how stress
can lead to illness, aging, and even premature
death. At the end of every chromosome is a pro
tein complex called a telomere that, in essence, tells
the cell how long it has to live. Every time a cell
divides, enzymes whittle away a tiny piece of the
telomere; when it is reduced to almost nothing,
the cell stops dividing and dies. Chronic stress,
especially if it begins in childhood, appears to
shorten the telomeres (Epel, 2009).
Stress and the Mind LO 13.12, LO 13.13
Before you try to persuade your instructors that
the stress of constant studying is bad for your
health, consider this mystery: The large majority
of individuals who are living with stressors, even
serious ones such as loss of a job or the chronic
these interwoven factors. The “psycho” part stands
for psychological processes such as emotions and
perceptions; “neuro” for the nervous and endocrine
systems; and “immunology” for the immune sys
tem, which enables the body to combat disease and
infection.
PNI researchers are especially interested in
the white blood cells of the immune system, which
are designed to recognize foreign or harmful
Less than 1 month
Chronic stress by duration
Routine stress
Chronic stress by type
(at least a month)
Relative risk of a cold
0.0 0.5 1.0 1.5 2.0 2.5 3.0 3.5 4.0
Interpersonal
1 to 6 months
6 months to 2 years
More than 2 years
Work (unemployment
or underemployment)
FIgURE 13.4 Stress and the Common Cold
Chronic stress lasting a month or more boosts the risk of catching a cold. The risk is
increased among people undergoing problems with their friends or loved ones; it is
highest among people who are out of work (Cohen et al., 1998).
The immune system consists of fighter cells that look
more fantastical than any alien creature Hollywood
could design. This one is about to engulf and destroy a
cigarette-shaped parasite that causes a tropical disease.