Immune system changes after the death of a partner in HIV-positive gay men

M E Kemeny1, H Weiner, R Duran

  • 1Department of Psychiatry and Biobehavioral Sciences, School of Medicine, University of California, Los Angeles 90024, USA.

Psychosomatic Medicine
|November 1, 1995
PubMed

Insights

The death of a partner can negatively impact immune function in men with HIV (human immunodeficiency virus). Bereavement is linked to immune changes that may worsen HIV progression.

Area of Science:

  • Psychoneuroimmunology
  • Immunology
  • HIV/AIDS Research

Background:

  • The death of an intimate partner is a significant stressor.
  • The impact of bereavement on immune function in HIV-positive individuals is not fully understood.

Purpose of the Study:

  • To investigate immune changes in HIV-seropositive men following the death of their partner.
  • To explore the association between depressed mood and these immune alterations.

Main Methods:

  • Comparison of immune parameters between bereaved and nonbereaved HIV-positive gay men.
  • Assay of immunological markers (immune activation, T-cell proliferation) before and after bereavement.
  • Control for lifestyle factors (substance use, AZT).

Main Results:

  • HIV-positive bereaved men showed increased immune activation post-bereavement.
  • A significant decrease in T-cell proliferative response was observed in bereaved men.
  • These immune changes were independent of drug use, alcohol, smoking, or AZT.

Conclusions:

  • Partner death is associated with detrimental immune changes in HIV-positive men.
  • These changes are relevant to HIV disease progression.
  • Bereavement represents a significant psychosocial stressor impacting immune health in this population.

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