Stockhorst Ursula, Klosterhalfen Sibylle
Institut für Medizinische Psychologie, Heinrich-Heine-Universität Düsseldorf.
Psychother Psychosom Med Psychol. 2005 Jan;55(1):5-19. doi: 10.1055/s-2004-834552.
This chapter deals with the role of conditioning principles in psychoneuroimmunology (PNI). We will first describe the paradigms of classical and instrumental conditioning and classify immune parameters that are subject to conditioning (chapter 1). So far, PNI research mainly uses classical (or Pavlovian) conditioning. We will summarize some of the paradigmatic studies, mainly animal studies (chapter 2) and also describe studies that support the clinical relevance of classical conditioning, i. e., in the pharmacological treatment of autoimmune diseases, transplantation and tumor chemotherapy (chapter 3). A study of our group on anticipatory immunomodulation in pediatric cancer patients is reported. Mechanisms mediating conditioned immunomodulation are summarized (chapter 4). We also describe studies that analyze the impact of instrumental conditioning contingencies on immune functioning (chapter 5). Finally, research perspectives are summarized (chapter 6).
本章探讨条件作用原理在心理神经免疫学(PNI)中的作用。我们将首先描述经典条件作用和操作性条件作用的范式,并对可受条件作用影响的免疫参数进行分类(第1章)。到目前为止,心理神经免疫学研究主要采用经典(或巴甫洛夫式)条件作用。我们将总结一些典型研究,主要是动物研究(第2章),并描述支持经典条件作用临床相关性的研究,即在自身免疫性疾病、移植和肿瘤化疗的药物治疗方面(第3章)。报告了我们小组关于儿科癌症患者预期免疫调节的一项研究。总结了介导条件性免疫调节的机制(第4章)。我们还描述了分析操作性条件作用意外情况对免疫功能影响的研究(第5章)。最后,总结了研究前景(第6章)。