Paula S. Tallman, Rebecca A. Seligman, Felicia C. Madimenos, Melissa A. Liebert, Tara J. Cepon-Robins, J. Josh Snodgrass, Thomas W. McDade, Lawrence S. Sugiyama
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We examined whether the number of somatic symptoms reported was associated with measures of immune (Epstein–Barr virus [EBV] antibodies) and cardiovascular (blood pressure) functioning in 97 Shuar adults (37 women, 60 men; ages 18–65 years). Multivariate linear regression analyses were used to examine the relationships among somatic symptoms and stress biomarkers, controlling for age, sex, body mass index (BMI), active infection, level of education, and income.</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>Controlling for relevant covariates, Shuar adults reporting the highest level of somatic symptoms (three symptoms) were more likely to exhibit elevated systolic (<i>β</i> = 0.20, <i>p</i> = 0.04) and diastolic blood pressure (<i>β</i> = 0.23, <i>p</i> = 0.03), in comparison to adults reporting no symptoms. 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引用次数: 0
摘要
导言：本研究在生活在厄瓜多尔亚马逊的Shuar成年人中验证了自我报告的躯体症状与压力的生物标志物相关的假设，包括血压升高和免疫功能抑制。方法：研究在厄瓜多尔亚马逊的Upano山谷的三个Shuar社区进行，包括生物标志物的收集和结构化的发病率访谈。参与者自我报告了身体症状，如头痛、身体疼痛、疲劳和其他身体症状。我们研究了报告的躯体症状数量是否与97名Shuar成年人(37名女性，60名男性；年龄18-65岁)。在控制年龄、性别、体重指数（BMI）、活动性感染、教育水平和收入等因素的情况下，采用多元线性回归分析检验躯体症状与应激生物标志物之间的关系。结果：控制相关协变量，报告最高水平躯体症状（三种症状）的舒张压（β = 0.20, p = 0.04）和收缩压（β = 0.23, p = 0.03）升高的成年人比报告无症状的成年人更容易出现。与无症状相比，报告两种症状的Shuar成年人更有可能表现出EBV抗体浓度升高（β = 0.34, p =）。结论：这些初步研究结果表明，Shuar男性和女性报告的躯体症状与与慢性社会心理压力广泛相关的生理指标有关。这些发现补充了医学人类学的跨文化文献，这些文献记录了躯体症状的表达与紧张的生活环境之间的密切联系，并强调了人类生物学家在探索生物文化现象方面可以发挥的重要作用。
Somatic Symptoms Are Associated With Elevated Blood Pressure and Epstein–Barr Virus Antibodies Among Shuar of the Ecuadorian Amazon
Introduction
This study tests the hypothesis that self-reported somatic symptoms are associated with biomarkers of stress, including elevated blood pressure and suppressed immune function, among Shuar adults living in the Ecuadorian Amazon.
Methods
Research was conducted in three Shuar communities in the Upano Valley of the Ecuadorian Amazon and included the collection of biomarkers and a structured morbidity interview. Participants self-reported somatic symptoms such as headaches, body pain, fatigue, and other bodily symptoms. We examined whether the number of somatic symptoms reported was associated with measures of immune (Epstein–Barr virus [EBV] antibodies) and cardiovascular (blood pressure) functioning in 97 Shuar adults (37 women, 60 men; ages 18–65 years). Multivariate linear regression analyses were used to examine the relationships among somatic symptoms and stress biomarkers, controlling for age, sex, body mass index (BMI), active infection, level of education, and income.
Results
Controlling for relevant covariates, Shuar adults reporting the highest level of somatic symptoms (three symptoms) were more likely to exhibit elevated systolic (β = 0.20, p = 0.04) and diastolic blood pressure (β = 0.23, p = 0.03), in comparison to adults reporting no symptoms. Shuar adults reporting two symptoms, compared to no symptoms, were more likely to exhibit elevated EBV antibody concentrations (β = 0.34, p = < 0.01).
Conclusions
These preliminary findings demonstrate that somatic symptoms reported by Shuar men and women are associated with physiological measures widely associated with chronic psychosocial stress. These findings complement the cross-cultural literature in medical anthropology documenting the close connection between the expression of somatic symptoms and stressful life circumstances and highlight the important role that human biologists can play in exploring biocultural phenomena.
期刊介绍：
The American Journal of Human Biology is the Official Journal of the Human Biology Association.
The American Journal of Human Biology is a bimonthly, peer-reviewed, internationally circulated journal that publishes reports of original research, theoretical articles and timely reviews, and brief communications in the interdisciplinary field of human biology. As the official journal of the Human Biology Association, the Journal also publishes abstracts of research presented at its annual scientific meeting and book reviews relevant to the field.
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Like many other biologically oriented disciplines, the field of human biology has undergone considerable growth and diversification in recent years, and the expansion of the aims and scope of the Journal is a reflection of this growth and membership diversification.
The Journal is committed to prompt review, and priority publication is given to manuscripts with novel or timely findings, and to manuscripts of unusual interest.
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