Uvnas-Moberg Kerstin, Petersson Maria
Swedish University of Agricultural Sciences, Department of Animal Physiology, PO Box 7045, S-75007 Uppsala, Sweden.
Z Psychosom Med Psychother. 2005;51(1):57-80. doi: 10.13109/zptm.2005.51.1.57.
The neuroendocrine and physiological systems related to pain and stress have long been subjected to study. More recently, the corresponding systems promoting anti-stress and restoration have also come into focus. It is not only important to investigate the mechanisms underlying disease but also to examine the physiological and psychological mechanisms which protect and heal the body and soul. The nonapeptide oxytocin, originally known to stimulate labour and milk ejection, appears to play an important role in this regard. Oxytocin can induce anti-stress-like effects such as reduction of blood pressure and cortisol levels. It increases pain thresholds, exerts an anxiolytic-like effect and stimulates various types of positive social interaction. In addition, it promotes growth and healing. Repeated exposure to oxytocin causes long-lasting effects by influencing the activity of other transmitter systems, a pattern which makes oxytocin potentially clinically relevant. Oxytocin can be released by various types of non-noxious sensory stimulation, for example by touch and warmth. Ingestion of food triggers oxytocin release by activation of vagal afferents. Most likely, oxytocin can also be released by stimulation of other senses such as olfaction, as well as by certain types of sound and light. In addition, purely psychological mechanisms may trigger the release of oxytocin. This means that positive interaction involving touch and psychological support may be health-promoting. The social interaction of daily life, as well as a positive environment, continuously activate this system. In addition, various types of psychotherapy involving transfer of support, warmth and empathy are likely to induce similar effects, which thus contribute to the positive effects of these kinds of therapies.
长期以来,与疼痛和应激相关的神经内分泌及生理系统一直是研究对象。最近,相应的促进抗应激和恢复的系统也受到了关注。不仅研究疾病背后的机制很重要,而且研究保护和治愈身体与心灵的生理和心理机制也很重要。最初被认为能刺激分娩和排乳的九肽催产素,在这方面似乎起着重要作用。催产素可诱导类似抗应激的效应,如降低血压和皮质醇水平。它能提高痛阈,发挥类似抗焦虑的作用,并刺激各种类型的积极社交互动。此外,它还能促进生长和愈合。反复接触催产素会通过影响其他递质系统的活性产生持久效应,这种模式使催产素在临床上具有潜在相关性。催产素可通过各种类型的非伤害性感觉刺激释放,例如通过触摸和温暖。摄入食物通过激活迷走神经传入纤维触发催产素释放。很可能,催产素也可通过刺激其他感觉如嗅觉以及某些类型的声音和光线释放。此外,纯粹的心理机制可能触发催产素的释放。这意味着涉及触摸和心理支持的积极互动可能促进健康。日常生活中的社交互动以及积极的环境会持续激活这个系统。此外,各种涉及给予支持、温暖和同理心的心理治疗可能会产生类似效果,从而促成这类治疗的积极作用。