S. Cohen et al., CHRONIC SOCIAL STRESS, SOCIAL-STATUS, AND SUSCEPTIBILITY TO UPPER RESPIRATORY-INFECTIONS IN NONHUMAN-PRIMATES, Psychosomatic medicine, 59(3), 1997, pp. 213-221
Objective: The objective of the study was to assess the roles of socia
l stress and social status in susceptibility to upper respiratory infe
ction. Method: Sixty male cynomolgus monkeys were randomly assigned to
stable or unstable social conditions for 15 months. Two markers of so
cial status, social rank and percent of behaviors that were submissive
, were assessed at independent observation periods. Endocrine, immune,
and behavioral responses were each assessed (at 3-month intervals) du
ring the 9th through 14th months of the study. At the beginning of the
15th month, all animals were exposed to a virus (adenovirus) that cau
ses a common-cold-like illness. The primary outcome was whether or not
an animal developed an infection (shed virus) after viral exposure. R
esults: Although the social instability manipulation was associated wi
th increased agonistic behavior as indicated by minor injuries and ele
vated norepinephrine responses to social reorganizations, the manipula
tion did not influence the probability of being infected by the virus.
However, low social status (as assessed by either marker) was associa
ted with a substantially greater probability of being infected. It was
also associated with less body weight, greater elevated cortisol resp
onses to social reorganizations, and less aggressive behavior. However
, none of these characteristics could account for the relation between
social status and infection. Conclusions: Social stress was not assoc
iated with susceptibility to infection. However, animals with lower so
cial status were at higher risk than high social status animals.