Evidence map›Paper›PMID 40435540›Full record

ArticlePsychoneuroendocrinology2025

Spousal bereavement enhances proinflammatory cytokine production to acute, psychological stress.

E Lydia Wu-Chung, Ryan L Brown, Robert Suchting, Jensine Paoletti-Hatcher, Michelle A Chen, Angie S LeRoy, Kyle W Murdock, Cobi J Heijnen, Christopher P Fagundes

Abstract read
In one paragraph

Article in Psychoneuroendocrinology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

E Lydia Wu-ChungDepartment of Psychology, University of Pittsburgh, USA. Electronic address: lydiawuchung@pitt.edu.
Ryan L BrownHuman Development and Family Sciences, Texas Tech University, USA.
Robert SuchtingFaillace Department of Psychiatry and Behavioral Sciences, McGovern Medical School at UTHealth, University of Texas Health Science Center at Houston, USA.
Jensine Paoletti-HatcherDepartment of Psychology, Portland State University, USA.
Michelle A ChenDepartment of Psychology, Texas Christian University, USA.
Angie S LeRoyDepartment of Psychology, University of North Florida, USA.
Kyle W MurdockDepartment of Biobehavioral Health, The Pennsylvania State University, USA.
Cobi J HeijnenDepartment of Psychological Sciences, Rice University, USA.
Christopher P FagundesDepartment of Psychological Sciences, Rice University, USA; Department of Psychiatry and Behavioral Sciences, Baylor College of Medicine, USA; Department of Psychology, University of Houston, USA; Institute of Health and Resilience, Rice University, USA.

Funding

Psychology & Medicine: Translational Research on Stress, Behavior and DiseaseT32MH019391 · NIMH · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI ADLER, NANCY E, EPEL, ELISSA S. · 1991 to 2022
$4.4M
Project Heart: Biobehavioral Effects on Cardiovascular Risk for Bereaved SpousesR01HL127260 · NHLBI · RICE UNIVERSITY · PI FAGUNDES, CHRISTOPHER PAUL · 2015 to 2019
$4.1M
Writing to Heal: Developing an Internet-Based Cognitive-Behavioral Writing Intervention for Alzheimer’s Disease Spousal CaregiversK01AG073824 · NIA · UNIVERSITY OF NORTH FLORIDA · PI Angie S LeRoy · 2022 to 2026
$611k
Neighborhood-level Structural Racism and Cardiovascular Health Among African American Youth and Young AdultsF32HL164050 · NHLBI · NORTHWESTERN UNIVERSITY · PI CHEN, MICHELLE A. · 2022 to 2024
$218k
Employment Status, Psychosocial Functioning, and Chronic Inflammation Among Dementia Spousal CaregiversF32AG079624 · NIA · RICE UNIVERSITY · PI PAOLETTI, JENSINE · 2022 to 2024
$151k
From stress to dementia risk: An examination of psychological, immunological, and neurobiological mechanisms underlying increased risk for Alzheimer’s disease and related dementias in widow(er)sF31AG074648 · NIA · RICE UNIVERSITY · PI WU-CHUNG, E. LYDIA · 2022 to 2024
$116k
NHLBI NIH HHS F32 HL164050NHLBI NIH HHS R01 HL127260NIA NIH HHS F31 AG074648NIA NIH HHS F32 AG079624NIA NIH HHS K01 AG073824NIMH NIH HHS T32 MH019391
6 · The paper itself

Abstract

Early widowhood is characterized by chronic stress and is associated with a higher risk of incident depression and cardiovascular-related morbidity and mortality. Peripheral inflammation is involved in the pathogenesis of major depressive disorder and atherothrombosis and may represent a common mechanism underlying widow(er)'s elevated risk for both health conditions. Chronic psychological stress sensitizes the release of proinflammatory cytokines during the peripheral stress response. The present study examined whether recent spousal bereavement enhances the inflammatory response to an acute, psychological stressor. Recently widowed older adults (n = 143) and non-widowed controls (n = 69) participated in a quasi-experimental study, during which they underwent the Trier Social Stress Test, provided multiple blood samples through an intravenous catheter (before stressor, 45 min post-stressor, 120 min post-stressor), and completed self-report questionnaires. Blood samples were assayed for serum Interleukin (IL)-6 levels. Mixed linear modeling was used to test hypotheses. There was a significant time × bereavement status effect on IL-6 after controlling for confounding variables. Widow(er)s showed a steeper increase in IL-6 per hour compared to non-bereaved adults. Findings suggest that the inflammatory stress response is heightened in widow(er)s, which may contribute to the mental and physical health risks associated with early widowhood.

Indexed as

BereavementCytokinesStress, PsychologicalWidowhoodAgedFemaleHumansInflammationInterleukin-6MaleMiddle AgedSpousesCytokinesInterleukin-6IL-6InflammationStressful life eventStress reactivityWidowhood

Identifiers

PMID40435540
PMCPMC13383667

What OpenQuestion holds

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Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.