Positive mood on the day of influenza vaccination predicts vaccine effectiveness: A prospective observational cohort study.
Identifieur interne : 000308 ( PubMed/Corpus ); précédent : 000307; suivant : 000309Positive mood on the day of influenza vaccination predicts vaccine effectiveness: A prospective observational cohort study.
Auteurs : Kieran Ayling ; Lucy Fairclough ; Paddy Tighe ; Ian Todd ; Vanessa Halliday ; Jon Garibaldi ; Simon Royal ; Aljali Hamed ; Heather Buchanan ; Kavita VedharaSource :
- Brain, behavior, and immunity [ 1090-2139 ] ; 2018.
English descriptors
- KwdEn :
- MESH :
- chemical , blood : Immunoglobulin G.
- chemical , therapeutic use : Influenza Vaccines.
- prevention & control : Influenza, Human.
- psychology : Vaccination.
- Affect, Aged, Aged, 80 and over, Female, Humans, Longitudinal Studies, Male, Prospective Studies, Treatment Outcome.
Abstract
Influenza vaccination is estimated to only be effective in 17-53% of older adults. Multiple patient behaviors and psychological factors have been shown to act as 'immune modulators' sufficient to influence vaccination outcomes. However, the relative importance of such factors is unknown as they have typically been examined in isolation. The objective of the present study was to explore the effects of multiple behavioral (physical activity, nutrition, sleep) and psychological influences (stress, positive mood, negative mood) on the effectiveness of the immune response to influenza vaccination in the elderly. A prospective, diary-based longitudinal observational cohort study was conducted. One hundred and thirty-eight community-dwelling older adults (65-85years) who received the 2014/15 influenza vaccination completed repeated psycho-behavioral measures over the two weeks prior, and four weeks following influenza vaccination. IgG responses to vaccination were measured via antigen microarray and seroprotection via hemagglutination inhibition assays at 4 and 16weeks post-vaccination. High pre-vaccination seroprotection levels were observed for H3N2 and B viral strains. Positive mood on the day of vaccination was a significant predictor of H1N1 seroprotection at 16weeks post-vaccination and IgG responses to vaccination at 4 and 16weeks post-vaccination, controlling for age and gender. Positive mood across the 6-week observation period was also significantly associated with post-vaccination H1N1 seroprotection and IgG responses to vaccination at 16weeks post-vaccination, but in regression models the proportion of variance explained was lower than for positive mood on the day of vaccination alone. No other factors were found to significantly predict antibody responses to vaccination. Greater positive mood in older adults, particularly on the day of vaccination, is associated with enhanced responses to vaccination.
DOI: 10.1016/j.bbi.2017.09.008
PubMed: 28923405
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Positive mood on the day of influenza vaccination predicts vaccine effectiveness: A prospective observational cohort study.</title><author><name sortKey="Ayling, Kieran" sort="Ayling, Kieran" uniqKey="Ayling K" first="Kieran" last="Ayling">Kieran Ayling</name><affiliation><nlm:affiliation>Division of Primary Care, School of Medicine, Tower Building, University of Nottingham, Nottingham NG7 2RD, UK. Electronic address: kieran.ayling@nottingham.ac.uk.</nlm:affiliation></affiliation></author><author><name sortKey="Fairclough, Lucy" sort="Fairclough, Lucy" uniqKey="Fairclough L" first="Lucy" last="Fairclough">Lucy Fairclough</name><affiliation><nlm:affiliation>School of Life Sciences, Life Sciences Building, University of Nottingham, Nottingham NG7 2RD, UK.</nlm:affiliation></affiliation></author><author><name sortKey="Tighe, Paddy" sort="Tighe, Paddy" uniqKey="Tighe P" first="Paddy" last="Tighe">Paddy Tighe</name><affiliation><nlm:affiliation>School of Life Sciences, Life Sciences Building, University of Nottingham, Nottingham NG7 2RD, UK.</nlm:affiliation></affiliation></author><author><name sortKey="Todd, Ian" sort="Todd, Ian" uniqKey="Todd I" first="Ian" last="Todd">Ian Todd</name><affiliation><nlm:affiliation>School of Life Sciences, Life Sciences Building, University of Nottingham, Nottingham NG7 2RD, UK.</nlm:affiliation></affiliation></author><author><name sortKey="Halliday, Vanessa" sort="Halliday, Vanessa" uniqKey="Halliday V" first="Vanessa" last="Halliday">Vanessa Halliday</name><affiliation><nlm:affiliation>Section of Public Health, School of Health and Related Research (ScHARR), University of Sheffield, Sheffield S1 4DA, UK.</nlm:affiliation></affiliation></author><author><name sortKey="Garibaldi, Jon" sort="Garibaldi, Jon" uniqKey="Garibaldi J" first="Jon" last="Garibaldi">Jon Garibaldi</name><affiliation><nlm:affiliation>School of Computer Science, University of Nottingham, NG8 1BB, UK.</nlm:affiliation></affiliation></author><author><name sortKey="Royal, Simon" sort="Royal, Simon" uniqKey="Royal S" first="Simon" last="Royal">Simon Royal</name><affiliation><nlm:affiliation>Cripps Health Centre University of Nottingham, Nottingham NG7 2QW, UK.</nlm:affiliation></affiliation></author><author><name sortKey="Hamed, Aljali" sort="Hamed, Aljali" uniqKey="Hamed A" first="Aljali" last="Hamed">Aljali Hamed</name><affiliation><nlm:affiliation>School of Life Sciences, Life Sciences Building, University of Nottingham, Nottingham NG7 2RD, UK.</nlm:affiliation></affiliation></author><author><name sortKey="Buchanan, Heather" sort="Buchanan, Heather" uniqKey="Buchanan H" first="Heather" last="Buchanan">Heather Buchanan</name><affiliation><nlm:affiliation>Division of Rehabilitation & Aging, School of Medicine, University of Nottingham, Queen's Medical Centre, NG7 2UH, UK.</nlm:affiliation></affiliation></author><author><name sortKey="Vedhara, Kavita" sort="Vedhara, Kavita" uniqKey="Vedhara K" first="Kavita" last="Vedhara">Kavita Vedhara</name><affiliation><nlm:affiliation>Division of Primary Care, School of Medicine, Tower Building, University of Nottingham, Nottingham NG7 2RD, UK. Electronic address: kavita.vedhara@nottingham.ac.uk.</nlm:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2018">2018</date><idno type="RBID">pubmed:28923405</idno><idno type="pmid">28923405</idno><idno type="doi">10.1016/j.bbi.2017.09.008</idno><idno type="wicri:Area/PubMed/Corpus">000308</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">000308</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Positive mood on the day of influenza vaccination predicts vaccine effectiveness: A prospective observational cohort study.</title><author><name sortKey="Ayling, Kieran" sort="Ayling, Kieran" uniqKey="Ayling K" first="Kieran" last="Ayling">Kieran Ayling</name><affiliation><nlm:affiliation>Division of Primary Care, School of Medicine, Tower Building, University of Nottingham, Nottingham NG7 2RD, UK. Electronic address: kieran.ayling@nottingham.ac.uk.</nlm:affiliation></affiliation></author><author><name sortKey="Fairclough, Lucy" sort="Fairclough, Lucy" uniqKey="Fairclough L" first="Lucy" last="Fairclough">Lucy Fairclough</name><affiliation><nlm:affiliation>School of Life Sciences, Life Sciences Building, University of Nottingham, Nottingham NG7 2RD, UK.</nlm:affiliation></affiliation></author><author><name sortKey="Tighe, Paddy" sort="Tighe, Paddy" uniqKey="Tighe P" first="Paddy" last="Tighe">Paddy Tighe</name><affiliation><nlm:affiliation>School of Life Sciences, Life Sciences Building, University of Nottingham, Nottingham NG7 2RD, UK.</nlm:affiliation></affiliation></author><author><name sortKey="Todd, Ian" sort="Todd, Ian" uniqKey="Todd I" first="Ian" last="Todd">Ian Todd</name><affiliation><nlm:affiliation>School of Life Sciences, Life Sciences Building, University of Nottingham, Nottingham NG7 2RD, UK.</nlm:affiliation></affiliation></author><author><name sortKey="Halliday, Vanessa" sort="Halliday, Vanessa" uniqKey="Halliday V" first="Vanessa" last="Halliday">Vanessa Halliday</name><affiliation><nlm:affiliation>Section of Public Health, School of Health and Related Research (ScHARR), University of Sheffield, Sheffield S1 4DA, UK.</nlm:affiliation></affiliation></author><author><name sortKey="Garibaldi, Jon" sort="Garibaldi, Jon" uniqKey="Garibaldi J" first="Jon" last="Garibaldi">Jon Garibaldi</name><affiliation><nlm:affiliation>School of Computer Science, University of Nottingham, NG8 1BB, UK.</nlm:affiliation></affiliation></author><author><name sortKey="Royal, Simon" sort="Royal, Simon" uniqKey="Royal S" first="Simon" last="Royal">Simon Royal</name><affiliation><nlm:affiliation>Cripps Health Centre University of Nottingham, Nottingham NG7 2QW, UK.</nlm:affiliation></affiliation></author><author><name sortKey="Hamed, Aljali" sort="Hamed, Aljali" uniqKey="Hamed A" first="Aljali" last="Hamed">Aljali Hamed</name><affiliation><nlm:affiliation>School of Life Sciences, Life Sciences Building, University of Nottingham, Nottingham NG7 2RD, UK.</nlm:affiliation></affiliation></author><author><name sortKey="Buchanan, Heather" sort="Buchanan, Heather" uniqKey="Buchanan H" first="Heather" last="Buchanan">Heather Buchanan</name><affiliation><nlm:affiliation>Division of Rehabilitation & Aging, School of Medicine, University of Nottingham, Queen's Medical Centre, NG7 2UH, UK.</nlm:affiliation></affiliation></author><author><name sortKey="Vedhara, Kavita" sort="Vedhara, Kavita" uniqKey="Vedhara K" first="Kavita" last="Vedhara">Kavita Vedhara</name><affiliation><nlm:affiliation>Division of Primary Care, School of Medicine, Tower Building, University of Nottingham, Nottingham NG7 2RD, UK. Electronic address: kavita.vedhara@nottingham.ac.uk.</nlm:affiliation></affiliation></author></analytic><series><title level="j">Brain, behavior, and immunity</title><idno type="eISSN">1090-2139</idno><imprint><date when="2018" type="published">2018</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Affect</term><term>Aged</term><term>Aged, 80 and over</term><term>Female</term><term>Humans</term><term>Immunoglobulin G (blood)</term><term>Influenza Vaccines (therapeutic use)</term><term>Influenza, Human (prevention & control)</term><term>Longitudinal Studies</term><term>Male</term><term>Prospective Studies</term><term>Treatment Outcome</term><term>Vaccination (psychology)</term></keywords><keywords scheme="MESH" type="chemical" qualifier="blood" xml:lang="en"><term>Immunoglobulin G</term></keywords><keywords scheme="MESH" type="chemical" qualifier="therapeutic use" xml:lang="en"><term>Influenza Vaccines</term></keywords><keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>Influenza, Human</term></keywords><keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Vaccination</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Affect</term><term>Aged</term><term>Aged, 80 and over</term><term>Female</term><term>Humans</term><term>Longitudinal Studies</term><term>Male</term><term>Prospective Studies</term><term>Treatment Outcome</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Influenza vaccination is estimated to only be effective in 17-53% of older adults. Multiple patient behaviors and psychological factors have been shown to act as 'immune modulators' sufficient to influence vaccination outcomes. However, the relative importance of such factors is unknown as they have typically been examined in isolation. The objective of the present study was to explore the effects of multiple behavioral (physical activity, nutrition, sleep) and psychological influences (stress, positive mood, negative mood) on the effectiveness of the immune response to influenza vaccination in the elderly. A prospective, diary-based longitudinal observational cohort study was conducted. One hundred and thirty-eight community-dwelling older adults (65-85years) who received the 2014/15 influenza vaccination completed repeated psycho-behavioral measures over the two weeks prior, and four weeks following influenza vaccination. IgG responses to vaccination were measured via antigen microarray and seroprotection via hemagglutination inhibition assays at 4 and 16weeks post-vaccination. High pre-vaccination seroprotection levels were observed for H3N2 and B viral strains. Positive mood on the day of vaccination was a significant predictor of H1N1 seroprotection at 16weeks post-vaccination and IgG responses to vaccination at 4 and 16weeks post-vaccination, controlling for age and gender. Positive mood across the 6-week observation period was also significantly associated with post-vaccination H1N1 seroprotection and IgG responses to vaccination at 16weeks post-vaccination, but in regression models the proportion of variance explained was lower than for positive mood on the day of vaccination alone. No other factors were found to significantly predict antibody responses to vaccination. Greater positive mood in older adults, particularly on the day of vaccination, is associated with enhanced responses to vaccination.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">28923405</PMID><DateCompleted><Year>2018</Year><Month>07</Month><Day>11</Day></DateCompleted><DateRevised><Year>2018</Year><Month>07</Month><Day>11</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1090-2139</ISSN><JournalIssue CitedMedium="Internet"><Volume>67</Volume><PubDate><Year>2018</Year><Month>Jan</Month></PubDate></JournalIssue><Title>Brain, behavior, and immunity</Title><ISOAbbreviation>Brain Behav. Immun.</ISOAbbreviation></Journal><ArticleTitle>Positive mood on the day of influenza vaccination predicts vaccine effectiveness: A prospective observational cohort study.</ArticleTitle><Pagination><MedlinePgn>314-323</MedlinePgn></Pagination><ELocationID EIdType="pii" ValidYN="Y">S0889-1591(17)30423-3</ELocationID><ELocationID EIdType="doi" ValidYN="Y">10.1016/j.bbi.2017.09.008</ELocationID><Abstract><AbstractText>Influenza vaccination is estimated to only be effective in 17-53% of older adults. Multiple patient behaviors and psychological factors have been shown to act as 'immune modulators' sufficient to influence vaccination outcomes. However, the relative importance of such factors is unknown as they have typically been examined in isolation. The objective of the present study was to explore the effects of multiple behavioral (physical activity, nutrition, sleep) and psychological influences (stress, positive mood, negative mood) on the effectiveness of the immune response to influenza vaccination in the elderly. A prospective, diary-based longitudinal observational cohort study was conducted. One hundred and thirty-eight community-dwelling older adults (65-85years) who received the 2014/15 influenza vaccination completed repeated psycho-behavioral measures over the two weeks prior, and four weeks following influenza vaccination. IgG responses to vaccination were measured via antigen microarray and seroprotection via hemagglutination inhibition assays at 4 and 16weeks post-vaccination. High pre-vaccination seroprotection levels were observed for H3N2 and B viral strains. Positive mood on the day of vaccination was a significant predictor of H1N1 seroprotection at 16weeks post-vaccination and IgG responses to vaccination at 4 and 16weeks post-vaccination, controlling for age and gender. Positive mood across the 6-week observation period was also significantly associated with post-vaccination H1N1 seroprotection and IgG responses to vaccination at 16weeks post-vaccination, but in regression models the proportion of variance explained was lower than for positive mood on the day of vaccination alone. No other factors were found to significantly predict antibody responses to vaccination. Greater positive mood in older adults, particularly on the day of vaccination, is associated with enhanced responses to vaccination.</AbstractText><CopyrightInformation>Copyright © 2017. Published by Elsevier Inc.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Ayling</LastName><ForeName>Kieran</ForeName><Initials>K</Initials><AffiliationInfo><Affiliation>Division of Primary Care, School of Medicine, Tower Building, University of Nottingham, Nottingham NG7 2RD, UK. Electronic address: kieran.ayling@nottingham.ac.uk.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Fairclough</LastName><ForeName>Lucy</ForeName><Initials>L</Initials><AffiliationInfo><Affiliation>School of Life Sciences, Life Sciences Building, University of Nottingham, Nottingham NG7 2RD, UK.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Tighe</LastName><ForeName>Paddy</ForeName><Initials>P</Initials><AffiliationInfo><Affiliation>School of Life Sciences, Life Sciences Building, University of Nottingham, Nottingham NG7 2RD, UK.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Todd</LastName><ForeName>Ian</ForeName><Initials>I</Initials><AffiliationInfo><Affiliation>School of Life Sciences, Life Sciences Building, University of Nottingham, Nottingham NG7 2RD, UK.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Halliday</LastName><ForeName>Vanessa</ForeName><Initials>V</Initials><AffiliationInfo><Affiliation>Section of Public Health, School of Health and Related Research (ScHARR), University of Sheffield, Sheffield S1 4DA, UK.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Garibaldi</LastName><ForeName>Jon</ForeName><Initials>J</Initials><AffiliationInfo><Affiliation>School of Computer Science, University of Nottingham, NG8 1BB, UK.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Royal</LastName><ForeName>Simon</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Cripps Health Centre University of Nottingham, Nottingham NG7 2QW, UK.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Hamed</LastName><ForeName>Aljali</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>School of Life Sciences, Life Sciences Building, University of Nottingham, Nottingham NG7 2RD, UK.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Buchanan</LastName><ForeName>Heather</ForeName><Initials>H</Initials><AffiliationInfo><Affiliation>Division of Rehabilitation & Aging, School of Medicine, University of Nottingham, Queen's Medical Centre, NG7 2UH, UK.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Vedhara</LastName><ForeName>Kavita</ForeName><Initials>K</Initials><AffiliationInfo><Affiliation>Division of Primary Care, School of Medicine, Tower Building, University of Nottingham, Nottingham NG7 2RD, UK. Electronic address: kavita.vedhara@nottingham.ac.uk.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><GrantList CompleteYN="Y"><Grant><GrantID>MR/J005150/1</GrantID><Agency>Medical Research Council</Agency><Country>United Kingdom</Country></Grant></GrantList><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D064888">Observational Study</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2017</Year><Month>09</Month><Day>18</Day></ArticleDate></Article><MedlineJournalInfo><Country>Netherlands</Country><MedlineTA>Brain Behav Immun</MedlineTA><NlmUniqueID>8800478</NlmUniqueID><ISSNLinking>0889-1591</ISSNLinking></MedlineJournalInfo><ChemicalList><Chemical><RegistryNumber>0</RegistryNumber><NameOfSubstance UI="D007074">Immunoglobulin G</NameOfSubstance></Chemical><Chemical><RegistryNumber>0</RegistryNumber><NameOfSubstance UI="D007252">Influenza Vaccines</NameOfSubstance></Chemical></ChemicalList><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000339" MajorTopicYN="Y">Affect</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000369" MajorTopicYN="N">Aged, 80 and over</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007074" MajorTopicYN="N">Immunoglobulin G</DescriptorName><QualifierName UI="Q000097" MajorTopicYN="N">blood</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D007252" MajorTopicYN="N">Influenza Vaccines</DescriptorName><QualifierName UI="Q000627" MajorTopicYN="Y">therapeutic use</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D007251" MajorTopicYN="N">Influenza, Human</DescriptorName><QualifierName UI="Q000517" MajorTopicYN="Y">prevention & control</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008137" MajorTopicYN="N">Longitudinal Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011446" MajorTopicYN="N">Prospective Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D016896" MajorTopicYN="N">Treatment Outcome</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D014611" MajorTopicYN="N">Vaccination</DescriptorName><QualifierName UI="Q000523" MajorTopicYN="Y">psychology</QualifierName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Influenza</Keyword><Keyword MajorTopicYN="N">Older adults</Keyword><Keyword MajorTopicYN="N">Positive mood</Keyword><Keyword MajorTopicYN="N">Psychoneuroimmunology</Keyword><Keyword MajorTopicYN="N">Vaccination</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2017</Year><Month>05</Month><Day>25</Day></PubMedPubDate><PubMedPubDate PubStatus="revised"><Year>2017</Year><Month>08</Month><Day>31</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2017</Year><Month>09</Month><Day>14</Day></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2017</Year><Month>9</Month><Day>20</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2018</Year><Month>7</Month><Day>12</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2017</Year><Month>9</Month><Day>20</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">28923405</ArticleId><ArticleId IdType="pii">S0889-1591(17)30423-3</ArticleId><ArticleId IdType="doi">10.1016/j.bbi.2017.09.008</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
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