TY - JOUR
T1 - Psychological Influences on Surgical Recovery
T2 - Perspectives from Psychoneuroimmunology
AU - Kiecolt-Glaser, Janice K.
AU - Page, Gayle G.
AU - Marucha, Phillip T.
AU - MacCallum, Robert C.
AU - Glaser, Ronald
PY - 1998/11
Y1 - 1998/11
N2 - 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.
AB - 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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U2 - 10.1037/0003-066X.53.11.1209
DO - 10.1037/0003-066X.53.11.1209
M3 - Article
C2 - 9830373
AN - SCOPUS:0032215459
SN - 0003-066X
VL - 53
SP - 1209
EP - 1218
JO - American Psychologist
JF - American Psychologist
IS - 11
ER -