Béres András, Emri Miklós, Aranyi Csaba, Fajtai Dániel, Nagy Ferenc, Szabó Péter, Bödecs Pál, Hörcsik Edit, Perpékné Papp Éva, Tomanek Ferenc, Kuti Márta, Petőfalviné Ágnes, Kisdeákné Hajnalka, Bíró Gergely, Kovács Dániel, Bakos Bettina, Vinczen Eszter, Gál Eszter, Sillinger Renáta, Szalai Zoltán, Szilágyi Antal, Kiss-Merki Marianna, Nagyéri György, Fodor Judit, Németh Tamás, Papp Erzsébet, Repa Imre
Pápa Reformed Theological Seminary, Pápa, Hungary.
Kaposi Mor Hospital, Kaposvár, SOMOGY County, Hungary.
F1000Res. 2024 Oct 30;10:1295. doi: 10.12688/f1000research.74504.5. eCollection 2021.
Faith and belief systems impact the emotional as well as immunological states of believers in ways that we are just beginning to understand. However, the clinical implications of prior studies are limited.The aim of the HEALING (Hospital-based Ecumenical and Linguistic Immuno-NeuroloGic) study is to examine immunological and neurological changes in hospitalized patients after meeting with a chaplain coupled with the study of biblical readings.
Hospitalized patients were pre-screened to identify those who were most in need of a spiritual intervention. A passage from the Bible was read to them during a meeting with the chaplain at bedside (n = 20) or in the chapel (n = 18). No meeting occurred in the randomized control group (n = 19). Blood samples were obtained 30 min prior and 60 min after the meeting to measure white blood cell (WBC) count, interferon-gamma (IFN-γ), immunoglobulin M (IgM), IgA, IgG, and complement 3 (C3). A subgroup of the visited patients was subjected to functional magnetic resonance imaging (fMRI), during which they listened to an audiotape of readings of the same biblical passage (n = 21).
Immunological changes were not significant. Conversely, a significant (p = 0.003) correlation was observed between lymphocyte changes and activation of the angular gyrus (left BA39) during fMRI, a brain area involved in word recognition.
This article contributes to the relevant literature by helping to create a realistic picture of the possibilities of neuroimmune modulation in clinical practice. Compared to healthy volunteers, the extent of short-term neuroimmunomodulation becomes narrower in a clinical setting. Although limited by the sample size and cohort study design, the findings suggest that the depth of psycho-immunological changes could depend on the degree to which the chaplain's main message is understood.
信仰体系以我们刚刚开始理解的方式影响着信徒的情绪和免疫状态。然而,先前研究的临床意义有限。“治愈”(基于医院的普世与语言免疫神经学)研究的目的是检查住院患者在与牧师会面并研读圣经经文后免疫和神经方面的变化。
对住院患者进行预筛查,以确定那些最需要精神干预的患者。在床边与牧师会面(n = 20)或在教堂(n = 18)时,向他们宣读一段圣经经文。随机对照组(n = 19)不进行会面。在会面开始前30分钟和结束后60分钟采集血样,以测量白细胞(WBC)计数、干扰素-γ(IFN-γ)、免疫球蛋白M(IgM)、IgA、IgG和补体3(C3)。对部分受访患者进行功能磁共振成像(fMRI),在此期间他们收听同一圣经经文的朗读录音带(n = 21)。
免疫变化不显著。相反,在fMRI期间,观察到淋巴细胞变化与角回(左BA39)激活之间存在显著相关性(p = 0.003),角回是一个参与单词识别的脑区。
本文通过帮助勾勒临床实践中神经免疫调节可能性的现实图景,为相关文献做出了贡献。与健康志愿者相比,临床环境中短期神经免疫调节的程度变窄。尽管受样本量和队列研究设计的限制,但研究结果表明,心理免疫变化的深度可能取决于对牧师主要信息的理解程度。