Psychological Influences on Surgical Recovery: Perspectives from Psychoneuroimmunology

Janice K. Kiecolt-Glaser, Gayle G. Page, Phillip Marucha, Robert C. MacCallum, Ronald Glaser

Research output: Contribution to journalArticle

372 Citations (Scopus)

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.

Original languageEnglish (US)
Pages (from-to)1209-1218
Number of pages10
JournalAmerican Psychologist
Volume53
Issue number11
StatePublished - Nov 1998
Externally publishedYes

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Psychoneuroimmunology
Psychology
Research
Wound Healing
Fear
Anxiety
Pain

ASJC Scopus subject areas

  • Psychology(all)

Cite this

Kiecolt-Glaser, J. K., Page, G. G., Marucha, P., MacCallum, R. C., & Glaser, R. (1998). Psychological Influences on Surgical Recovery: Perspectives from Psychoneuroimmunology. American Psychologist, 53(11), 1209-1218.

Psychological Influences on Surgical Recovery : Perspectives from Psychoneuroimmunology. / Kiecolt-Glaser, Janice K.; Page, Gayle G.; Marucha, Phillip; MacCallum, Robert C.; Glaser, Ronald.

In: American Psychologist, Vol. 53, No. 11, 11.1998, p. 1209-1218.

Research output: Contribution to journalArticle

Kiecolt-Glaser, JK, Page, GG, Marucha, P, MacCallum, RC & Glaser, R 1998, 'Psychological Influences on Surgical Recovery: Perspectives from Psychoneuroimmunology', American Psychologist, vol. 53, no. 11, pp. 1209-1218.
Kiecolt-Glaser JK, Page GG, Marucha P, MacCallum RC, Glaser R. Psychological Influences on Surgical Recovery: Perspectives from Psychoneuroimmunology. American Psychologist. 1998 Nov;53(11):1209-1218.
Kiecolt-Glaser, Janice K. ; Page, Gayle G. ; Marucha, Phillip ; MacCallum, Robert C. ; Glaser, Ronald. / Psychological Influences on Surgical Recovery : Perspectives from Psychoneuroimmunology. In: American Psychologist. 1998 ; Vol. 53, No. 11. pp. 1209-1218.
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