Previous research has shown that both experimentally-induced and naturally
occurring upper respiratory tract illnesses (URTIs) influence mood and ment
al functioning. None of the previous studies of naturally occurring colds h
as conducted appropriate virological assays to determine the nature of the
infecting agent. This is an essential methodological step in studies of mal
aise associated with URTIs. The aim of this research was to investigate the
effects of naturally occurring colds on mood and objective measures of per
formance. This was done by first conducting a cross-sectional comparison of
37 healthy people and 158 volunteers with colds and then a longitudinal st
udy in which 100 volunteers developed colds and 87 remained healthy. Virolo
gical techniques were used to identify infecting agents and comparisons mad
e across the different groups. The results showed that having a cold was as
sociated with reduced alertness and slowed reaction times. These effects we
re observed both for colds where the infecting virus was identified and tho
se where it was not. Similar effects were obtained for both rhinovirus and
coronavirus colds. One may conclude that upper respiratory tract illnesses
lead to a reduction in subjective alertness and impaired psychomotor functi
oning. This was true for both illnesses where the infecting agent was ident
ified and for those clinical illnesses where no virus was detected. It is n
ow important to identify the mechanisms linking infection and illness with
the behavioural changes. Similarly, the impact of these effects on real-lif
e activities such as driving needs examining. Finally, methods of treatment
need to be developed which not only treat the local symptoms of the illnes
ses but remove the negative mood and the performance impairments. (C) 1998
Elsevier Science Ltd. All rights reserved.