以心理神經免疫學角度探討輔助與替代療法於愛滋病病毒感染者之應用

Use of complementary and alternative medicine for the management of HIV/AIDS: a psychoneuroimmunology perspective

楊世瑋(Shih-Wei Yang) ； 辜美安(Malcolm Koo)

《實證自然醫學》 1卷1期 (2014/09) Pp. 23-36

摘要

輔助與替代療法（complementary and alternative medicine, CAM）近年逐漸受不同疾病的患者嘗試和採用，尤其在緩和慢性疾病所造成的生理或心理症狀。感染人類免疫缺陷病毒的患者亦不例外，患者利用CAM緩和疾病所帶來的不適症狀、減少接受治療時的副作用困擾和提高整體健康狀態。非攝入性身心療法例如禱告和放鬆技巧等，相對生物療法如草藥或營養補充劑，較為不會與治療產生不良交互作用。然而，CAM的身心療法是透過何種機制協助患者的健康？本文藉心理神經免疫學理論（psychoneuroimmunology theory）的角度探討CAM身心療法中的認知行為壓力管理和正念療法在愛滋病病毒感染者之研究。

關鍵字

心理神經免疫學 ； 心理學 ； 免疫學 ； 愛滋病 ； 輔助與替代療法 ； 另類療法

並列摘要

Complementary and alternative medicine (CAM) has gained popularity among patients with various disorders, especially in relieving both physical and mental symptoms caused by chronic diseases. People living with HIV infection are of no exception. CAM has been used to alleviate discomfort associated with the disease, to reduce distress arising from unwanted side effect of treatment, and to improve the overall health conditions. Non-invasive mind-body interventions, such as prayer or relaxing techniques, are less likely to cause adverse interactions with conventional medical therapy compared with other biologically based treatments such as herbs and dietary supplements. Nevertheless, what is the possible mechanism that could explain the beneficial effects of mind-body CAM on patients' health? The present study, using the perspective of psychoneuroimmunology, reviewed the research conducted on cognitive-behavioral stress management and mindfulness-based stress reduction in people living with HIV.

並列關鍵字

psychoneuroimmunology ； psychology ； immunology ； Acquired Immunodeficiency Syndrome ； complementary and alternative medicine