Abstract
The purpose of this review was to provide current knowledge about the possible association between psychosocial job stress and immune parameters in blood, saliva, and urine. Using bibliographic databases (PubMed, PsychINFO, Web of Science, Medline) and the snowball method, 56 studies were found. In general, exposure to psychosocial job stress (high job demands, low job control, high job strain, job dissatisfaction, high effort–reward imbalance, overcommitment, burnout, unemployment, organizational downsizing, economic recession) had a measurable impact on immune parameters (reduced NK cell activity, NK and T cell subsets, CD4+/CD8+ ratio, and increased inflammatory markers). The evidence supports that psychosocial job stresses are related to disrupted immune responses but further research is needed to demonstrate cause–effect relationships.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Siegrist J (2010) Effort-reward imbalance at work and cardiovascular diseases. Int J Occup Med Environ Health 23:279–285
Eller NH, Netterstrom B, Gyntelberg F et al (2009) Work-related psychosocial factors and the development of ischemic heart disease: a systematic review. Cardiol Rev 17:83–97
Kivimaki M, Virtanen M, Elovainio M, Kouvonen A, Vaananen A, Vahtera J (2006) Work stress in the etiology of coronary heart disease—a meta-analysis. Scand J Work Environ Health 32:431–442
Pickering T (1997) The effects of occupational stress on blood pressure in men and women. Acta Physiol Scand Suppl 640:125–128
Boscolo P, Youinou P, Theoharides TC, Cerulli G, Conti P (2008) Environmental and occupational stress and autoimmunity. Autoimmun Rev 7:340–343
van Rijn RM, Huisstede BM, Koes BW, Burdorf A (2010) Associations between work-related factors and specific disorders of the shoulder—a systematic review of the literature. Scand J Work Environ Health 36:189–201
Bonde JP (2008) Psychosocial factors at work and risk of depression: a systematic review of the epidemiological evidence. Occup Environ Med 65:438–445
Netterstrom B, Conrad N, Bech P et al (2008) The relation between work-related psychosocial factors and the development of depression. Epidemiol Rev 30:118–132
Stansfeld S, Candy B (2006) Psychosocial work environment and mental health—a meta-analytic review. Scand J Work Environ Health 32:443–462
Nieuwenhuijsen K, Bruinvels D, Frings-Dresen M (2010) Psychosocial work environment and stress-related disorders, a systematic review. Occup Med (Lond) 60:277–286
Nakata A, Haratani T, Takahashi M et al (2004) Job stress, social support, and prevalence of insomnia in a population of Japanese daytime workers. Soc Sci Med 59:1719–1730
Perdikaris P, Kletsiou E, Gymnopoulou E, Matziou V (2010) The relationship between workplace, job stress and nurses’ tobacco use: a review of the literature. Int J Environ Res Public Health 7:2362–2375
Grunberg L, Moore S, Anderson-Connolly R, Greenberg E (1999) Work stress and self-reported alcohol use: the moderating role of escapist reasons for drinking. J Occup Health Psychol 4:29–36
Heraclides AM, Chandola T, Witte DR, Brunner EJ (2012) Work stress, obesity and the risk of type 2 diabetes: gender-specific bidirectional effect in the Whitehall II study. Obesity (Silver Spring) 20(2):428–433
Segerstrom SC, Miller GE (2004) Psychological stress and the human immune system: a meta-analytic study of 30 years of inquiry. Psychol Bull 130:601–630
Zorrilla EP, Luborsky L, McKay JR et al (2001) The relationship of depression and stressors to immunological assays: a meta-analytic review. Brain Behav Immun 15:199–226
McEwen BS, Gianaros PJ (2011) Stress- and allostasis-induced brain plasticity. Annu Rev Med 62:431–445
Bellingrath S, Weigl T, Kudielka BM (2009) Chronic work stress and exhaustion is associated with higher allostatic load in female school teachers. Stress 12:37–48
Sun J, Wang S, Zhang JQ, Li W (2007) Assessing the cumulative effects of stress: the association between job stress and allostatic load in a large sample if Chinese employees. Work Stress 21:333–347
Karasek RA (1979) Job demands, job decision latitude, and mental strain: implication for job design. Admin Sci Q 24:285–307
Tsutsumi A, Kayaba K, Ishikawa S (2011) Impact of occupational stress on stroke across occupational classes and genders. Soc Sci Med 72:1652–1658
Heraclides A, Chandola T, Witte DR, Brunner EJ (2009) Psychosocial stress at work doubles the risk of type 2 diabetes in middle-aged women: evidence from the Whitehall II study. Diabetes Care 32:2230–2235
Rugulies R, Krause N (2005) Job strain, iso-strain, and the incidence of low back and neck injuries. A 7.5-year prospective study of San Francisco transit operators. Soc Sci Med 61:27–39
Suominen S, Vahtera J, Korkeila K, Helenius H, Kivimaki M, Koskenvuo M (2007) Job strain, life events, and sickness absence: a longitudinal cohort study in a random population sample. J Occup Environ Med 49:990–996
Hausser JA, Mojzisch A, Nielsen M, Schulz-Hardt S (2010) Ten years on: a review of recent research on the job demand-control (-support) model and psychological well-being. Work Stress 24:1–35
Kawakami N, Tanigawa T, Araki S et al (1997) Effects of job strain on helper-inducer (CD4+CD29+) and suppressor-inducer (CD4+CD45RA+) T cells in Japanese blue-collar workers. Psychother Psychosom 66:192–198
Meijman TF, van Dormolen M, Herber RFM, Rogen H, Kuiper S (1995) Job strain, neuroendocrine activation, and immune status. In: Sauter SL, Murphy LR (eds) Organizational risk factors for job stress. American Psychological Association, Washington, DC, pp 113–126
Nakata A, Araki S, Tanigawa T et al (2000) Decrease of suppressor-inducer (CD4+ CD45RA) T lymphocytes and increase of serum immunoglobulin G due to perceived job stress in Japanese nuclear electric power plant workers. J Occup Environ Med 42:143–150
Nakata A, Tanigawa T, Fujioka Y, Kitamura F, Iso H, Shimamoto T (2002) Association of low job control with a decrease in memory (CD4+ CD45RO+) T lymphocytes in Japanese middle-aged male workers in an electric power plant. Ind Health 40:142–148
Ohlson CG, Soderfeldt M, Soderfeldt B, Jones I, Theorell T (2001) Stress markers in relation to job strain in human service organizations. Psychother Psychosom 70:268–275
Shirom A, Toker S, Berliner S, Shapir I, Melamed S (2006) Work-related vigor and job satisfaction relationships with inflammation biomarkers among employed adults. In: Fave A (ed) Dimensions of well-being: research and intervention. Franco Angeli, Milano, pp 254–274
Hemingway H, Shipley M, Mullen MJ et al (2003) Social and psychosocial influences on inflammatory markers and vascular function in civil servants (the Whitehall II study). Am J Cardiol 92:984–987
Theorell T, Orth-Gomer K, Eneroth P (1990) Slow-reacting immunoglobulin in relation to social support and changes in job strain: a preliminary note. Psychosom Med 52:511–516
Clays E, De Bacquer D, Delanghe J, Kittel F, Van Renterghem L, De Backer G (2005) Associations between dimensions of job stress and biomarkers of inflammation and infection. J Occup Environ Med 47:878–883
Schnorpfeil P, Noll A, Schulze R, Ehlert U, Frey K, Fischer JE (2003) Allostatic load and work conditions. Soc Sci Med 57:647–656
Masilamani R, Darus A, Su TA, Ali R, Mahmud AB, David K (2012) Salivary biomarkers of stress among teachers in an urban setting. Asia Pac J Public Health 24(2):278–287
Siegrist J, Starke D, Chandola T et al (2004) The measurement of effort-reward imbalance at work: European comparisons. Soc Sci Med 58:1483–1499
Siegrist J (1996) Adverse health effects of high-effort/low-reward conditions. J Occup Health Psychol 1:27–41
Tsutsumi A, Kawakami N (2004) A review of empirical studies on the model of effort-reward imbalance at work: reducing occupational stress by implementing a new theory. Soc Sci Med 59:2335–2359
van Vegchel N, de Jonge J, Bosma H, Schaufeli W (2005) Reviewing the effort-reward imbalance model: drawing up the balance of 45 empirical studies. Soc Sci Med 60:1117–1131
Bosch JA, Fischer JE, Fischer JC (2009) Psychologically adverse work conditions are associated with CD8+ T cell differentiation indicative of immunosenescence. Brain Behav Immun 23:527–534
Bellingrath S, Rohleder N, Kudielka BM (2010) Healthy working school teachers with high effort-reward-imbalance and overcommitment show increased pro-inflammatory immune activity and a dampened innate immune defence. Brain Behav Immun 24:1332–1339
Hamer M, Williams E, Vuonovirta R, Giacobazzi P, Gibson EL, Steptoe A (2006) The effects of effort-reward imbalance on inflammatory and cardiovascular responses to mental stress. Psychosom Med 68:408–413
Nakata A, Takahashi M, Irie M (2011) Effort-reward imbalance, overcommitment, and cellular immune measures among white-collar employees. Biol Psychol 88:270–279
Wright BJ (2011) Effort-reward imbalance is associated with salivary immunoglobulin a and cortisol secretion in disability workers. J Occup Environ Med 53:308–312
Barth J, Schneider S, von Kanel R (2010) Lack of social support in the etiology and the prognosis of coronary heart disease: a systematic review and meta-analysis. Psychosom Med 72:229–238
Bell CN, Thorpe RJ Jr, Laveist TA (2010) Race/ethnicity and hypertension: the role of social support. Am J Hypertens 23:534–540
Ikeda T, Nakata A, Takahashi M et al (2009) Correlates of depressive symptoms among workers in small- and medium-scale manufacturing enterprises in Japan. J Occup Health 51:26–37
Blazer DG (1982) Social support and mortality in an elderly community population. Am J Epidemiol 115:684–694
Kahn RL, Antonucci T (1980) Convoys over the life course: attachment, roles and social support. In: Baltes P (ed) Life span development and behavior, vol 3. Lexington Press, Boston
Uchino BN (2006) Social support and health: a review of physiological processes potentially underlying links to disease outcomes. J Behav Med 29:377–387
Lutgendorf SK, Sood AK, Anderson B et al (2005) Social support, psychological distress, and natural killer cell activity in ovarian cancer. J Clin Oncol 23:7105–7113
Levy SM, Herberman RB, Whiteside T, Sanzo K, Lee J, Kirkwood J (1990) Perceived social support and tumor estrogen/progesterone receptor status as predictors of natural killer cell activity in breast cancer patients. Psychosom Med 52:73–85
Theorell T, Blomkvist V, Jonsson H, Schulman S, Berntorp E, Stigendal L (1995) Social support and the development of immune function in human immunodeficiency virus infection. Psychosom Med 57:32–36
Persson L, Gullberg B, Hanson BS, Moestrup T, Ostergren PO (1994) HIV infection: social network, social support, and CD4 lymphocyte values in infected homosexual men in Malmo, Sweden. J Epidemiol Community Health 48:580–585
Ullrich PM, Lutgendorf SK, Stapleton JT (2003) Concealment of homosexual identity, social support and CD4 cell count among HIV-seropositive gay men. J Psychosom Res 54:205–212
Uchino BN, Cacioppo JT, Kiecolt-Glaser JK (1996) The relationship between social support and physiological processes: a review with emphasis on underlying mechanisms and implications for health. Psychol Bull 119:488–531
Amati M, Tomasetti M, Ciuccarelli M et al (2010) Relationship of job satisfaction, psychological distress and stress-related biological parameters among healthy nurses: a longitudinal study. J Occup Health 52:31–38
Miyazaki T, Ishikawa T, Iimori H et al (2003) Relationship between perceived social support and immune function. Stress Health 19:3–7
Miyazaki T, Ishikawa T, Nakata A et al (2005) Association between perceived social support and Th1 dominance. Biol Psychol 70:30–37
Kawaguchi Y, Toyomasu K, Yoshida N, Baba K, Uemoto M, Minota S (2007) Measuring job stress among hospital nurses: an attempt to identify biological markers. Fukuoka Igaku Zasshi 98:48–55
Spector PE (1997) Job satisfaction: application, assessment, causes, and consequences. Sage, Thousand Oaks, CA
van Saane N, Sluiter JK, Verbeek JH, Frings-Dresen MH (2003) Reliability and validity of instruments measuring job satisfaction—a systematic review. Occup Med (Lond) 53:191–200
de Castro AB, Gee GC, Takeuchi D (2008) Relationship between job dissatisfaction and physical and psychological health among Filipino immigrants. AAOHN J 56:33–40
Faragher EB, Cass M, Cooper CL (2005) The relationship between job satisfaction and health: a meta-analysis. Occup Environ Med 62:105–112
Hagihara A, Tarumi K, Nobutomo K (2000) Work stressors, drinking with colleagues after work, and job satisfaction among white-collar workers in Japan. Subst Use Misuse 35:737–756
Frone MR, Windle M (1997) Job dissatisfaction and substance use among employed high school students: the moderating influence of active and avoidant coping styles. Subst Use Misuse 32:571–585
Munch-Hansen T, Wieclaw J, Agerbo E, Westergaard-Nielsen N, Bonde JP (2008) Global measure of satisfaction with psychosocial work conditions versus measures of specific aspects of psychosocial work conditions in explaining sickness absence. BMC Public Health 8:270
Nakata A, Takahashi M, Irie M, Ray T, Swanson NG (2010) Job satisfaction, common cold, and sickness absence among white-collar employees: a cross-sectional survey. Ind Health 49:116–121
Roelen CA, Koopmans PC, Notenbomer A, Groothoff JW (2008) Job satisfaction and sickness absence: a questionnaire survey. Occup Med (Lond) 58:567–571
Andrea H, Beurskens AJ, Metsemakers JF, van Amelsvoort LG, van den Brandt PA, van Schayck CP (2003) Health problems and psychosocial work environment as predictors of long term sickness absence in employees who visited the occupational physician and/or general practitioner in relation to work: a prospective study. Occup Environ Med 60:295–300
Winefield AH, Tiggemann M, Goldney RD (1988) Psychological concomitants of satisfactory employment and unemployment in young people. Soc Psychiatry Psychiatr Epidemiol 23:149–157
Barrios-Choplin B, McCarty R, Cryer B (1997) An inner quality approach to reducing stress and improving physical and emotional well-being at work. Stress Med 13:193–201
Endresen IM, Vaernes R, Ursin H, Tonder O (1987) Psychological stress-factors and concentration of immunoglobulins and complement components in Norwegian nurses. Work Stress 1:365–375
Theorell T, Hasselhorn HM, Vingard E, Andersson B, MUSIC-Norrtalje-Study-Group (2000) Interleukin 6 and cortisol in acute musculoskeletal disorders: results from a case-referent study in Sweden. Stress Med 16:27–35
Nakata A, Takahashi M, Irie M, Swanson NG (2010) Job satisfaction is associated with elevated natural killer cell immunity among healthy white-collar employees. Brain Behav Immun 24:1268–1275
Ensminger ME, Celentano DD (1988) Unemployment and psychiatric distress: social resources and coping. Soc Sci Med 27:239–247
Wilson SH, Walker GM (1993) Unemployment and health: a review. Public Health 107:153–162
Kivimaki M, Honkonen T, Wahlbeck K et al (2007) Organisational downsizing and increased use of psychotropic drugs among employees who remain in employment. J Epidemiol Community Health 61:154–158
Vahtera J, Kivimaki M, Pentti J (1997) Effect of organisational downsizing on health of employees. Lancet 350:1124–1128
Dragano N, Verde PE, Siegrist J (2005) Organisational downsizing and work stress: testing synergistic health effects in employed men and women. J Epidemiol Community Health 59:694–699
Virtanen P, Vahtera J, Kivimaki M, Pentti J, Ferrie J (2002) Employment security and health. J Epidemiol Community Health 56:569–574
Ferrie JE, Shipley MJ, Stansfeld SA, Marmot MG (2002) Effects of chronic job insecurity and change in job security on self reported health, minor psychiatric morbidity, physiological measures, and health related behaviours in British civil servants: the Whitehall II study. J Epidemiol Community Health 56:450–454
Laszlo KD, Pikhart H, Kopp MS et al (2010) Job insecurity and health: a study of 16 European countries. Soc Sci Med 70:867–874
Ferrie JE (2001) Is job insecurity harmful to health? J R Soc Med 94:71–76
Ferrie JE, Shipley MJ, Marmot MG, Stansfeld S, Smith GD (1995) Health effects of anticipation of job change and non-employment: longitudinal data from the Whitehall II study. BMJ 311:1264–1269
Arnetz BB, Brenner SO, Levi L et al (1991) Neuroendocrine and immunologic effects of unemployment and job insecurity. Psychother Psychosom 55:76–80
Arnetz BB, Wasserman J, Petrini B et al (1987) Immune function in unemployed women. Psychosom Med 49:3–12
Janicki-Deverts D, Cohen S, Matthews KA, Cullen MR (2008) History of unemployment predicts future elevations in C-reactive protein among male participants in the Coronary Artery Risk Development in Young Adults (CARDIA) study. Ann Behav Med 36:176–185
Hintikka J, Lehto SM, Niskanen L et al (2009) Unemployment and ill health: a connection through inflammation? BMC Public Health 9:410
Cohen F, Kemeny ME, Zegans LS, Johnson P, Kearney KA, Stites DP (2007) Immune function declines with unemployment and recovers after stressor termination. Psychosom Med 69:225–234
Marriott D, Kirkwood BJ, Stough C (1994) Immunological effects of unemployment. Lancet 344:269–270
Boscolo P, Di Donato A, Di Giampaolo L et al (2009) Blood natural killer activity is reduced in men with occupational stress and job insecurity working in a university. Int Arch Occup Environ Health 82:787–794
Nakano Y, Nakamura S, Hirata M et al (1998) Immune function and lifestyle of taxi drivers in Japan. Ind Health 36:32–39
Hertting A, Theorell T (2002) Physiological changes associated with downsizing of personnel and reorganisation in the health care sector. Psychother Psychosom 71:117–122
Maslach C, Schaufeli WB, Leiter MP (2001) Job burnout. Annu Rev Psychol 52:397–422
Maslach C, Jackson SE (1981) The measurement of experienced burnout. J Occup Behav 2:99–113
Middeldorp CM, Cath DC, Boomsma DI (2006) A twin-family study of the association between employment, burnout and anxious depression. J Affect Disord 90:163–169
Iacovides A, Fountoulakis KN, Kaprinis S, Kaprinis G (2003) The relationship between job stress, burnout and clinical depression. J Affect Disord 75:209–221
Ahola K, Honkonen T, Isometsa E et al (2005) The relationship between job-related burnout and depressive disorders—results from the Finnish Health 2000 study. J Affect Disord 88:55–62
Melamed S, Shirom A, Toker S, Berliner S, Shapira I (2006) Burnout and risk of cardiovascular disease: evidence, possible causal paths, and promising research directions. Psychol Bull 132:327–353
Honkonen T, Ahola K, Pertovaara M et al (2006) The association between burnout and physical illness in the general population—results from the Finnish Health 2000 study. J Psychosom Res 61:59–66
Melamed S, Shirom A, Toker S, Shapira I (2006) Burnout and risk of type 2 diabetes: a prospective study of apparently healthy employed persons. Psychosom Med 68:863–869
Mohren DC, Swaen GM, Kant IJ, van Amelsvoort LG, Borm PJ, Galama JM (2003) Common infections and the role of burnout in a Dutch working population. J Psychosom Res 55:201–208
Hallsten L, Voss M, Stark S, Josephson M (2011) Job burnout and job wornout as risk factors for long-term sickness absence. Work 38:181–192
Borritz M, Christensen KB, Bultmann U et al (2011) Impact of burnout and psychosocial work characteristics on future long-term sickness absence. Prospective results of the Danish PUMA Study among human service workers. J Occup Environ Med 52:964–970
Ahola K, Kivimaki M, Honkonen T et al (2008) Occupational burnout and medically certified sickness absence: a population-based study of Finnish employees. J Psychosom Res 64:185–193
Bargellini A, Barbieri A, Rovesti S, Vivoli R, Roncaglia R, Borella P (2000) Relation between immune variables and burnout in a sample of physicians. Occup Environ Med 57:453–457
Mommersteeg PM, Heijnen CJ, Kavelaars A, van Doornen LJ (2006) Immune and endocrine function in burnout syndrome. Psychosom Med 68:879–886
Nakamura H, Nagase H, Yoshida M, Ogino K (1999) Natural killer (NK) cell activity and NK cell subsets in workers with a tendency of burnout. J Psychosom Res 46:569–578
Lerman Y, Melamed S, Shragin Y et al (1999) Association between burnout at work and leukocyte adhesiveness/aggregation. Psychosom Med 61:828–833
Toker S, Shirom A, Shapira I, Berliner S, Melamed S (2005) The association between burnout, depression, anxiety, and inflammation biomarkers: C-reactive protein and fibrinogen in men and women. J Occup Health Psychol 10:344–362
Grossi G, Perski A, Evengard B, Blomkvist V, Orth-Gomer K (2003) Physiological correlates of burnout among women. J Psychosom Res 55:309–316
Langelaan S, Bakker AB, Schaufeli WB, van Rhenen W, van Doornen LJ (2007) Is burnout related to allostatic load? Int J Behav Med 14:213–221
Kitaoka-Higashiguchi K, Morikawa Y, Miura K et al (2009) Burnout and risk factors for arteriosclerotic disease: follow-up study. J Occup Health 51:123–131
von Kanel R, Bellingrath S, Kudielka BM (2008) Association between burnout and circulating levels of pro- and anti-inflammatory cytokines in schoolteachers. J Psychosom Res 65:51–59
Zeier H, Brauchli P, Joller-Jemelka HI (1996) Effects of work demands on immunoglobulin A and cortisol in air traffic controllers. Biol Psychol 42:413–423
Ursin H, Mykletun R, Tonder O et al (1984) Psychological stress-factors and concentrations of immunoglobulins and complement components in humans. Scand J Psychol 25:340–347
Henningsen GM, Hurrell JJ Jr, Baker F et al (1992) Measurement of salivary immunoglobulin A as an immunologic biomarker of job stress. Scand J Work Environ Health 18(suppl 2):133–136
Ng V, Koh D, Chan G, Ong HY, Chia SE, Ong CN (1999) Are salivary immunoglobulin A and lysozyme biomarkers of stress among nurses? J Occup Environ Med 41:920–927
Yang Y, Koh D, Ng V et al (2002) Self perceived work related stress and the relation with salivary IgA and lysozyme among emergency department nurses. Occup Environ Med 59:836–841
De Gucht V, Fischler B, Demanet C (1999) Immune dysfunction associated with chronic professional stress in nurses. Psychiatry Res 85:105–111
Endresen IM, Ellertsen B, Endresen C, Hjelmen AM, Matre R, Ursin H (1991) Stress at work and psychological and immunological parameters in a group of Norwegian female bank employees. Work Stress 5:217–227
Lee KM, Kang D, Yoon K et al (2010) A pilot study on the association between job stress and repeated measures of immunological biomarkers in female nurses. Int Arch Occup Environ Health 83:779–789
Di Donato A, Di Giampaolo L, Reale M et al (2006) Effect of occupational stress and anxiety on natural killer lymphocyte activity of men and women employed in a university. Int J Immunopathol Pharmacol 19:79–84
Okamoto H, Tsunoda T, Teruya K et al (2008) An occupational health study of emergency physicians in Japan: health assessment by immune variables (CD4, CD8, CD56, and NK cell activity) at the beginning of work. J Occup Health 50:136–146
Morikawa Y, Kitaoka-Higashiguchi K, Tanimoto C et al (2005) A cross-sectional study on the relationship of job stress with natural killer cell activity and natural killer cell subsets among healthy nurses. J Occup Health 47:378–383
Nakata A, Takahashi M, Irie M (2012) Association of overtime work with cellular immune markers among healthy daytime white-collar employees. Scand J Work Environ Health 38:56–64
Sakami S, Maeda M, Maruoka T, Nakata A, Komaki G, Kawamura N (2004) Positive coping up- and down-regulates in vitro cytokine productions from T cells dependent on stress levels. Psychother Psychosom 73:243–251
Fukuda H, Ichinose T, Kusama T, Sakurai R, Anndow K, Akiyoshi N (2008) Stress Âassessment in acute care department nurses by Âmeasuring interleukin-8. Int Nurs Rev 55:407–411
Acknowledgements
The findings and conclusions in this report are those of the authors and do not necessarily represent the views of the US National Institute for Occupational Safety and Health.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2012 Springer Science+Business Media, LLC
About this protocol
Cite this protocol
Nakata, A. (2012). Psychosocial Job Stress and Immunity: A Systematic Review. In: Yan, Q. (eds) Psychoneuroimmunology. Methods in Molecular Biology, vol 934. Humana Press, Totowa, NJ. https://doi.org/10.1007/978-1-62703-071-7_3
Download citation
DOI: https://doi.org/10.1007/978-1-62703-071-7_3
Published:
Publisher Name: Humana Press, Totowa, NJ
Print ISBN: 978-1-62703-070-0
Online ISBN: 978-1-62703-071-7
eBook Packages: Springer Protocols