Vnitr Lek 2020, 66(1):34-38 | DOI: 10.36290/vnl.2020.006

Chronic stress, mental discomfort, and depression increase the rates of infectious, autoimmune as well as malignant diseases

Zdeněk Adam1, Zdeněk Král1, Jeroným Klimeš2, Zdeněk Boleloucký3, Luděk Pour1
1 Interní hematologická a onkologická klinika LF MU a FN Brno, pracoviště Bohunice
2 Soukromá psychologická ambulance - PhDr. Mgr. Jeroným Klimeš, Ph.D., Praha 9 - Újezd nad Lesy
3 Oddělení psychiatrie a psychoterapie Svitavské nemocnice, Svitavy

Chronic stress and/or depression affect human health in all aspects of functioning. Chronic stress and/or depression reduce the functionality of immune defence. This review presents an overview of laboratory and clinical studies the aim of which was to evaluate the effect of stress on the development of malignant diseases as well as on that of infectious and autoimmune diseases. Numerous laboratory experiments have shown that chronic mental stress contributes to the development of tumours and has the potential to accelerate tumour growth. Many clinical studies have demonstrated that chronic mental stress increases the rates of cancer diseases (morbidity) as well as the death rates from them (mortality). When cancer disease is already present, marital status is one of the prognostic markers. Those who are widowed or divorced have shorter overall as well as tumour-specific survival rates than cohabiting persons. Many studies have analysed the effect of chronic stress, mental discomfort, and/or depression on the development of viral and bacterial infections. Most of these studies have confirmed a higher incidence of common viral and bacterial infections in individuals exposed to chronic stress or in those suffering from depression. Chronic stress also increases the rates or aggravates the course of autoimmune diseases. Chronic stress and depression states have a negative effect on bodily health. Hence, early therapeutic interventions are recommended because elimination of or alleviation from stress or depression during the course of bodily disease can reduce the number of somatic complications, thus reducing treatment costs. Based on the publications cited in the text, it can be concluded that "worrying brings on disease while contentment keeps it away."

Keywords: autoimmune disease, depression, chronic stress, immunity, malignant disease.

Published: February 21, 2020  Show citation

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Adam Z, Král Z, Klimeš J, Boleloucký Z, Pour L. Chronic stress, mental discomfort, and depression increase the rates of infectious, autoimmune as well as malignant diseases. Vnitr Lek. 2020;66(1):34-38. doi: 10.36290/vnl.2020.006.
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References

  1. Chen H, Liu D, Guo L et al. Chronic psychological stress promotes lung metastatic colonization of circulating breast cancer cells by decorating a pre‑metastatic niche through activating β‑adrenergic signaling. J Pathol 2018; 244: 49-60. Go to original source... Go to PubMed...
  2. Zhao L, Xu J, Liang F et al. Effect of Chronic Psychological Stress on Liver Metastasis of Colon Cancer in Mice. PLoS One 2015; 10: e0139978. Go to original source... Go to PubMed...
  3. Krizanova O, Babula P, Pacak K Stress, catecholaminergic system and cancer. Stress 2016; 19: 419-428. Go to original source... Go to PubMed...
  4. Flores IE, Sierra‑Fonseca JA, Davalos O et al. Stress alters the expression of cancer‑related genes in the prostate. BMC Cancer 2017; 17: 621-625. Go to original source... Go to PubMed...
  5. Conti CM, Maccauro G, Fulcheri M. Psychological stress and cancer. International Journal immunopathology pharmacology 2011; 24: 1-5. Go to original source... Go to PubMed...
  6. Becze E. Stress and inflammation combine to fuel cancer growth. ONS Connect. 2014; 29: 30-41. Go to PubMed...
  7. Surman M, Janik ME. Stress and its molecular consequences in cancer progression. Postepy Hig Med Dosw (Online) 2017; 71: 485-499. Go to original source... Go to PubMed...
  8. Sommershof A, Scheuermann L, Koerner J et al. Chronic stress suppresses anti‑tumor T(CD8+) responses and tumor regression following cancer immunotherapy in a mouse model of melanoma. Brain Behav Immun 2017; 65: 140-149. Go to original source... Go to PubMed...
  9. Partecke LI, Speerforck S, Käding A et al. Chronic stress increases experimental pancreatic cancer growth, reduces survival and can be antagonised by beta‑adrenergic receptor blockade. Pancreatology 2016; 16: 423-433. Go to original source... Go to PubMed...
  10. Shin KJ, Lee YJ, Yang X et al. Molecular Mechanisms Underlying Psychological Stress and Cancer. Curr Pharm Des 2016; 22: 2389-2402. Go to original source... Go to PubMed...
  11. Repasky EA, Eng J, Hylander BL. Stress, metabolism and cancer: integrated pathways contributing to immune suppression. Cancer J 2015; 21: 97-103. Go to original source... Go to PubMed...
  12. Reiche EM, Morimoto HK, Nunes SM. Stress and depression‑induced immune dysfunction: implications for the development and progression of cancer. Int Rev Psychiatry 2005; 17: 515-527. Go to original source... Go to PubMed...
  13. Li P, Huang J, Wu H et al. Impact of lifestyle and psychological stress on the development of early onset breast cancer. Medicine (Baltimore) 2016; 95: e5529. Go to original source... Go to PubMed...
  14. Schoemaker MJ, Jones ME, Wright LB et al. Psychological stress, adverse life events and breast cancer incidence: a cohort investigation in 106,000 women in the United Kingdom. Breast Cancer Res 2016; 18: 72. Go to original source... Go to PubMed...
  15. Cormanique TF, Almeida LE, Rech CA et al. Chronic psychological stress and its impact on the development of aggressive breast cancer. Einstein (Sao Paulo) 2015; 13: 352-356. Go to original source... Go to PubMed...
  16. Andersen BL, Goyal NG, Weiss DM et al. Cells, cytokines, chemokines, and cancer stress: A biobehavioral study of patients with chronic lymphocytic leukemia. Cancer 2018; 124: 3240-3248. Go to original source... Go to PubMed...
  17. Batty GD, Russ TC, Stamatakis E et al. Psychological distress in relation to site specific cancer mortality: pooling of unpublished data from 16 prospective cohort studies. Brit Med J 2017; 356: j108. Go to original source... Go to PubMed...
  18. Özkan M, Yildirim N, Disci R et al. Roles of Biopsychosocial Factors in the Development of Breast Cancer. Eur J Breast Health 2017; 13: 206-212. Go to original source... Go to PubMed...
  19. Aizer AA, Chen MH, McCarthy EP et al. Marital status and survival in patients with cancer. J Clin Oncol 2013; 31: 3869-3876. Go to original source... Go to PubMed...
  20. Wang F, Xie X, Yang X et al. The influence of marital status on the survival of patients with Hodgkin lymphoma. Oncotarget 2017; 8: 51016-51023. Go to original source... Go to PubMed...
  21. Chen Z, Cui J, Dai W et al Influence of marital status on small intestinal adenocarcinoma survival: an analysis of the Surveillance Epidemiology, and End Results (SEER) database. Cancer Manag Res 2018; 10: 5667-5676. Go to original source... Go to PubMed...
  22. Liu M, Li L, Yu W et al. Marriage is a dependent risk factor for mortality of colon adenocarcinoma without a time‑varying effect. Oncotarget 2017; 8: 20056-20066. Go to original source... Go to PubMed...
  23. Li Y, Zhu MX, Qi SH. Marital status and survival in patients with renal cell carcinoma. Medicine (Baltimore) 2018; 97: e0385. Go to original source... Go to PubMed...
  24. Coughlin SS. Anxiety and Depression: Linkages with Viral Diseases. Public Health 2012; 34: 92-94. Go to original source... Go to PubMed...
  25. Liao CH, Chang CS, Muo CH et al. High prevalence of herpes zoster in patients with depression. J Clin Psychiatry 2015; 76: e1099-1104. Go to original source... Go to PubMed...
  26. Irwin MR, Levin MJ, Carrillo C et al. Major depressive disorder and immunity to varicella‑zoster virus in the elderly. Brain Behav Immun 2011; 25: 759-766. Go to original source... Go to PubMed...
  27. Rogers MA, Greene MT, Young VB et al. Depression, antidepressant medications, and risk of Clostridium difficile infection. BMC Med 2013; 11: 121. Go to original source... Go to PubMed...
  28. Ugarte‑Gil C, Ruiz P, Zamudio C et al. Association of major depressive episode with negative outcomes of tuberculosis treatment. PLoS One 2013; 8: e69514. Go to original source... Go to PubMed...
  29. Jagmag T, Tirant M, Lotti T. Link between cutaneous infection, stress and depression. J Biol Regul Homeost Agents 2017; 31: 1037-1041 Go to PubMed...
  30. Pedersen AF, Zachariae R, Jensen AB et al. Psychological stress predicts the risk of febrile episodes in cancer patients during chemotherapy. Psychother Psychosom 2009; 78: 258-260. Go to original source... Go to PubMed...
  31. Sharif K, Watad A, Coplan L et al. The role of stress in the mosaic of autoimmunity: An overlooked association. Autoimmun Rev 2018; 17: 967-983. Go to original source... Go to PubMed...
  32. Song H, Fang F, Tomasson G et al. Association of Stress‑Related Disorders With Subsequent Autoimmune Disease. JAMA 2018; 319: 2388-2400. Go to original source... Go to PubMed...
  33. Andersson NW, Gustafsson LN, Okkels N et al. Depression and the risk of autoimmune disease: a nationally representative, prospective longitudinal study. Psychol Med 2015; 45: 3559-3569. Go to original source... Go to PubMed...
  34. Marucha PT, Kiecolt‑Glaser JK. Mucosal wound healing is impaired by examination stress. Psychosom Med 1998; 60: 362-365. Go to original source... Go to PubMed...
  35. Ebrecht M, Hextall J, Kirtley LG et al. Perceived stress and cortisol levels predict speed of wound healing in healthy male adult. Psychoneuroendocrinology 2004; 29: 798-809. Go to original source... Go to PubMed...
  36. Ulrich‑Lai YM, Fulton S, Wilson M et al. Stress exposure, food intake and emotional state. Stress 2015; 18: 381-399.
  37. Lawrence EM, Rogers RG, Wadsworth T. Happiness and longevity in the United States. Soc Sci Med 2015; 145: 115-119. Go to original source... Go to PubMed...
  38. Maggi M, Corona G. Love protects lover's life. J Sex Med 2011; 8: 931-935. Go to original source... Go to PubMed...
  39. Johnson BT, Acabchuk RL. What are the keys to a longer, happier life? Answers from five decades of health psychology research. Soc Sci Med 2018; 196: 218-225. Go to original source... Go to PubMed...
  40. Steptoe A, Wardle J. Enjoying life and living longer. Arch Intern Med 2012; 172: 273-275. Go to original source... Go to PubMed...




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