Mechanisms of Psychological Influence on Physical Health

1. Front Matter

   Pages 1-8

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2. Concurrent Morbidity Between Physical and Mental Illness: An Epidemiologic Examination

   • Linda K. George, Richard Landerman, Dan Blazer, Mary Lou Melville

   Pages 9-22

3. Social Support Influences on the Disease Process

   • Toni C. Antonucci

   Pages 23-41

4. Interpersonal Relationships and Immune Function

   • Janice K. Kiecolt-Glaser, Ronald Glaser

   Pages 43-59

5. Bereavement, Depression, and Immunity: The Role of Age

   • Steven J. Schleifer

   Pages 61-79

6. Stress, Illness, and Secretory Immunity

   • John M. Neale, Arthur A. Stone

   Pages 81-104

7. Differential Emotions Model for the Study of Health and Illness Processes in Aging

   • Carol Z. Malatesta

   Pages 105-128

8. Recent Advances in the Neurochemical Modulation of Behavior: Focus on Depression and Alzheimer’s Disease

   • Charles B. Nemeroff

   Pages 129-144

9. Psychological Factors in Coronary Artery Disease: Epidemiologic Evidence

   • Redford B. Williams Jr.

   Pages 145-159

10. Some Thoughts on the Cross-Cultural Prevalence of Dementia

    • Hugh C. Hendrie, Kathleens S. Hall, Mary Guerriero Austrom

    Pages 161-184

11. Back Matter

    Pages 185-196

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In recent years ideas about the influence of psychological status on physical health have been elevated from intuition and clinical lore to a legitimate area of scientific study. Mechanisms of influence are, indubitably, diverse. Some of this influence is indirect, accounted for simply by the instrumental help that social engagement, associated with good mental health, affords people; for example, psychologically "healthy" people are probably more likely to comply with medication regimens and engage in other healthful behaviors to a greater extent than those who are socially withdrawn or psychologically unstable. But recent studies suggest that while the importance of these more obvious factors cannot be denied, the complete picture includes factors that are much more subtle and complex. A body of research is beginning to accumulate that suggests that all three major regulatory systems -- the central nervous system, the endocrine system, and the immune system -- are affected by cognitions, emotions and behavior. There is no doubt that a relationship between mental and physical health exists, but very little is known about the specific mechanisms by which such influence occurs. At least in part, empirical research in this area has been limited by the inherent need for an interdisciplinary approach and synthesis of collected data. Recently, a few researchers in a number of different disciplines have begun to study directly the linkage between psychological and emotional well­ being and health.

• Alzheimer
• Depression
• age
• bereavement
• dementia
• morbidity
• physical health

• Stanford University, Stanford, USA

  Laura L. Carstensen

• State University of New York at Stony Brook, Stony Brook, USA

  John M. Neale

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