The role of autosuggestion in geriatric patients' quality of life: a study on psycho-neuro-endocrine-immunology pathway.

Autor: Sari NK; a Division of Geriatrics, Department of Internal Medicine, Faculty of Medicine , Universitas Indonesia , Jakarta , Indonesia., Setiati S; a Division of Geriatrics, Department of Internal Medicine, Faculty of Medicine , Universitas Indonesia , Jakarta , Indonesia., Taher A; b Department if Urology, Faculty of Medicine , Universitas Indonesia , Jakarta , Indonesia., Wiwie M; c Department of Psychiatry, Faculty of Medicine , Universitas Indonesia , Jakarta , Indonesia., Djauzi S; d Division of Allergy and Immunology, Department of Internal Medicine, Faculty of Medicine , Universitas Indonesia , Jakarta , Indonesia., Pandelaki J; e Department of Radiology, Faculty of Medicine , Universitas Indonesia , Jakarta , Indonesia., Purba JS; f Department of Neurology, Faculty of Medicine , Universitas Indonesia , Jakarta , Indonesia., Sadikin M; g Department of Biochemistry, Faculty of Medicine , Universitas Indonesia , Jakarta , Indonesia.
Jazyk: angličtina
Zdroj: Social neuroscience [Soc Neurosci] 2017 Oct; Vol. 12 (5), pp. 551-559. Date of Electronic Publication: 2016 Jul 07.
DOI: 10.1080/17470919.2016.1196243
Abstrakt: Background: There has been no study conducted about the effect of autosuggestion on quality of life for geriatric patients. Our aim was to evaluate the efficacy of autosuggestion for geriatric patients' quality of life and its impact on psycho-neuro-endocrine-immune pathway.
Methods: Sixty geriatric patients aged ≥60 years in a ward were randomly assigned to either receive autosuggestion or not. Autosuggestion was recorded in a tape to be heard daily for 30 days. Both groups received the standard medical therapy. Primary outcome was quality of life by COOP chart. Secondary outcomes were serum cortisol level, interleukin-2, interleukin-6, interferon-γ, and N-acetylaspartate/creatine ratio in limbic/paralimbic system by magnetic resonance spectroscopy. The study was single blinded due to the nature of the intervention studied.
Results: Out of 60 subjects, 51 finished the study. The autosuggestion group reported better scores than the control one for quality of life, COOP chart 1.95 vs. 2.22 (95% CI, p = 0.02). There were increments of serum cortisol (p = 0.03) and interleukin-6 in the autosuggestion group (p = 0.04). Interleukin-2, interferon-γ, and N-acetylaspartate/creatine ratio in prefrontal cortex showed a tendency to increase in the autosuggestion groups.
Conclusion: Autosuggestion is associated with improvement of geriatrics' quality of life, serum cortisol level, and adaptive immunity. There is a better trend for neuroplasticity in prefrontal cortex in the autosuggestion group.
Databáze: MEDLINE
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