Ventura Lori M
University of Miami Miller School of Medicine, Bascom Palmer Eye Institute, Miami, FL USA.
J Ocul Biol Dis Infor. 2009 Sep;2(3):109-118. doi: 10.1007/s12177-009-9032-8. Epub 2009 Sep 19.
Psychoneuroimmunology (PNI) is a relatively new discipline within the field of neuroscience which researches the relationship between emotional states, the central and peripheral nervous systems, and the endocrine and immune systems. Negative psychological states, such as stress, anxiety, and depression, may alter immune system regulation and modulation of peripheral cytokines. A plethora of PNI studies have shown that increased psychological stress and depression are associated with an alteration of immune functioning and worsened health outcomes for many conditions. To date, application of PNI methodology has not been reported for ocular diseases. This article provides an historical perspective on the origins of the rift between the emotional and spiritual from physical aspects of disease. A review of how stress is mediated through sympathetic adrenomedullary and hypothalamic pituitary axis activation with shifts in immunity is provided. The literature which supports spirituality in healing is presented. Finally, ocular diseases which would be most amenable to a PNI approach are discussed.[This corrects the article on p. in vol. .].
心理神经免疫学(PNI)是神经科学领域中一门相对较新的学科,它研究情绪状态、中枢和外周神经系统以及内分泌和免疫系统之间的关系。负面心理状态,如压力、焦虑和抑郁,可能会改变免疫系统对外周细胞因子的调节。大量心理神经免疫学研究表明,心理压力增加和抑郁与免疫功能改变以及许多疾病的健康状况恶化有关。迄今为止,尚未有关于心理神经免疫学方法应用于眼部疾病的报道。本文从疾病的身体方面提供了关于情感与精神之间裂痕起源的历史视角。回顾了压力如何通过交感肾上腺髓质和下丘脑垂体轴激活介导并伴随免疫变化。介绍了支持精神在治愈中作用的文献。最后,讨论了最适合采用心理神经免疫学方法的眼部疾病。[这纠正了第卷第页的文章。]