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[触摸医学——以抑郁症治疗为例的一种补充性治疗方法]

[Touch Medicine - a complementary therapeutic approach exemplified by the treatment of depression].

作者信息

Müller-Oerlinghausen Bruno, Eggart Michael, Norholt Henrik, Gerlach Michael, Kiebgis Gabriele Mariell, Arnold Michaela Maria, Moberg Kerstin Uvnäs

机构信息

Charité - Universitätsmedizin Berlin, Berlin, Deutschland.

Medizinische Hochschule Brandenburg Theodor Fontane, Neuruppin, Deutschland.

出版信息

Dtsch Med Wochenschr. 2022 Feb;147(4):e32-e40. doi: 10.1055/a-1687-2445. Epub 2021 Dec 17.

Abstract

Skin-to-skin-contact presents the earliest sensory experience of men and animals. Deprivation of age-relevant touch experiences during infancy results in compromised psychosocial and biological development. The 2021 Nobel Prize in Physiology or Medicine has been awarded for the discoveries of receptors for temperature and touch. Clinical studies have demonstrated the benefit of professional salutary touch for prevention and treatment of various illnesses. However, in the present practice of medicine the application of salutary touch does not meet adequate interest. Proposing a new medical discipline "Touch Medicine" we link the findings of modern touch research to clinical medicine. The treatment of depression which we conceive primarily as a disease afflicting the body will serve as an example to demonstrate the usefulness of touch therapy. Controlled studies and systematic reviews have convincingly shown antidepressive, anxiolytic and analgesic effects of salutary touch. The effectiveness and efficacy of touch therapy has also been demonstrated in many areas such as neonatology, pediatrics, oncology, and geriatrics. We discuss the underlying mechanisms on various explanatory levels including interoceptive and oxytocinergic mechanisms as well as the role of C tactile afferent nerve fibers.

摘要

皮肤接触是人类和动物最早的感官体验。婴儿期缺乏与年龄相关的触觉体验会导致心理社会和生物发育受损。2021年诺贝尔生理学或医学奖授予了温度和触觉受体的发现者。临床研究表明,专业的有益触摸对预防和治疗各种疾病有益。然而,在目前的医学实践中,有益触摸的应用并未得到足够的关注。我们提出了一门新的医学学科“触摸医学”,将现代触摸研究的结果与临床医学联系起来。我们主要将抑郁症视为一种折磨身体的疾病,对其治疗将作为一个例子来说明触摸疗法的有用性。对照研究和系统评价令人信服地表明,有益触摸具有抗抑郁、抗焦虑和镇痛作用。触摸疗法的有效性和功效也在新生儿学、儿科学、肿瘤学和老年医学等许多领域得到了证明。我们在包括内感受和催产素能机制以及C触觉传入神经纤维的作用等各种解释层面上讨论其潜在机制。

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