Psychological influences on surgical recovery: Perspectives from psychoneuroimmunology.
Abstract
Greater fear or distress prior to surgery is associated with a slower and more complicated postoperative recovery. Although anxiety presumably interferes with recuperation through both behavioral and physiological mechanisms, the pathways have been unclear. Recent work in psychoneuroimmunology (PNI) has demonstrated that stress delays wound healing. In addition, a second line of research has illustrated the adverse effects of pain on endocrine and immune function. A biobehavioral model is described that is based on these and other data; it suggests a number of routes through which psychological and behavioral responses can influence surgery and post-surgical outcomes. Clinical and research implications are highlighted.
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Severe or prolonged stress can interfere with treatment and recovery.
“Severe or prolonged stress can interfere with treatment and recovery”
From The Psychology of Change: Self-Affirmation and Social Psychological Intervention (2014) · cites this paper as Kiecolt-Glaser et al. 1998
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References 85 · Cited by 605
- Authors
- Kiecolt-Glaser, J. K., Page, G. G., Marucha, P. T., MacCallum, R. C., & Glaser, R.
- Venue
- American Psychologist
- Published
- 1998
- Volume
- 53
- Issue
- 11
- Pages
- 1209-1218
- ISSN
- 0003-066X (ISSN-L)
- 1935-990X
- OpenAlex
- W2080493442
- Cited by
- 605
- References
- 85
- Citations by year
- 2026: 15 · 2025: 14 · 2024: 9 · 2023: 21 · 2022: 15 · 2021: 19 · 2020: 25 · 2019: 20 · 2018: 23 · 2017: 28 · 2016: 27 · 2015: 31 · 2014: 30 · 2013: 24 · 2012: 27
- FWCI
- 15.59
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- American Psychologist (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institutes of Health (5k02mh001467-05, 5r37mh042096-15)
- National Institute of Mental Health (K02 MH01467, R37 MH42096)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Cancer, Stress, Anesthesia, and Immune Response
- Life Sciences › Neuroscience › Behavioral Neuroscience › Stress Responses and Cortisol
- Social Sciences › Psychology › Social Psychology › Music Therapy and Health
- Keywords
- psychoneuroimmunology, postoperative recovery, preoperative anxiety, wound healing, stress, pain, immune function, endocrine function, biobehavioral model
- MeSH terms
- Humans, Pain, Psychoneuroimmunology, Stress, Psychological, General Surgery, Wound Healing
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