“…These changes may be part of an adaptive fight-or-flight response to stressful situations, which evolutionary carried the risk of injury and infection (Szabo et al, 2020; Marsland et al, 2017; Slavish et al, 2015; Segerstrom and Miller, 2004). Further, psychological stress and the individual degree of stress responsivity are considered risk factors in various somatic and psychiatric diseases, possibly by affecting immune functioning (Seizer and Schubert, 2022; Khandaker et al, 2021; Everly et al, 2019; Marsland et al, 2002). However, the pathways underlying this stress-related regulation of immunity are still not fully understood (Schiller et al, 2021), and the field is plagued by high heterogeneity of effect sizes reported in individual studies (Szabo et al, 2020; Segerstrom and Miller, 2004).…”