産婦人科における情動と内分泌(心身症における情動と内分泌9第5回日本精神身体医学会総会シンポジウム)

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The limbic system and the hypothalamus appear to mediate the somatic manifestations of emotion by acting as a bridge between the neocortex, the autonomic nervous system and the endocrine glands. In this manner, emotions may cause a multitude of endocrine and autonomic reactions, such as increased or decreased secretion of hormones, rise in blood pressure, increased smooth muscle activity of uterus, and other organic or functional changes.The purpose of this presentation was to investigate the psychoneuroendocrine aspects in gynecology and obstetrics, namely : endocrine diseases, abortion and childbirth.(1) New Concept of Endocrine Disorders Systematic considerations have been made as to the mechanism of development of endocrine disorders from three points of view, viz., psychology, endocrinology, and neurology, in an attempt to get hold of endocrine disorders.(2) Psychoneuroendocrine Aspects in Endocrine DiseasesThe patients of endocrine diseases, who had anovulatory cycles, primary or secondary amenorrhea, were studied. In an attempt to diagnose in which organs the lesions existed (the diencephalonhypophysis, ovaries, or adrenal glands), we made various endocrine stimulating tests in a total of 46 patients, comprising six patients with anovulatory cycle, and 40 patients of amenorrhea. We analyzed the results as shown in this presentation, and further examined the involvement of the psychogenic factors in these endocrine functions.(3) Psychoneuroendocrine Aspects in Spontaneous AbortionsAlthough the etiology of a large percentage of spontaneous abortions is still not clear, evidence is fast accumulating that emotional factors to play an important role.Our study of four groups suggests that emotional stress influence for corticouterine neuro-endocrinologic pathway and form important links in the causation of spontaneous abortions.(4) Psychoneuroendocrine Aspects in ChildbirthFor women who had attained adequate relaxation by autogenic training and been released from fear and anxiety, the levels of plasma 11-OHCS remained low immediately after delivery, indicating a beneficial influence from autogenic training on the mechanics of childbirth.
日本心身医学会の論文
1975-02-01

産婦人科における情動と内分泌(心身症における情動と内分泌9第5回日本精神身体医学会総会シンポジウム)

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