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Psychoneuroimmunology and the pediatric surgeon
Authors:Edward P. Tagge  Elizabeth Lee Natali  Evan Lima  Dustin Leek  Cameron L. Neece  Kiti Freier Randall
Affiliation:1. Division of Pediatric Surgery, Loma Linda University Children''s Hospital, 11175 Campus St, CP21111, Loma Linda, California 92350;2. The University of Phoenix, Ontario, California;3. Department of Psychology, Loma Linda University Medical Center, Loma Linda, California;4. Loma Linda University Medical School, Loma Linda, California;5. Department of Pediatrics, Loma Linda University Medical Center, Loma Linda, California;1. Bournemouth University, UK;2. University of Southampton, UK;1. Medical Research Unit in Nephrology Diseases, CMNS XXI, Instituto Mexicano del Seguro Social (IMSS), Mexico, D.F., Mexico;2. Department of Cardiology, CMNS XXI, Instituto Mexicano del Seguro Social (IMSS), Mexico, D.F., Mexico;3. Department of Internal Medicine, Specialty Hospital, CMNS XXI, Instituto Mexicano del Seguro Social (IMSS), Mexico, D.F., Mexico;4. General Hospital of Zone No.32, IMSS, Mexico, D.F., Mexico;5. General Hospital of Zone No.25, IMSS, Mexico, D.F., Mexico;6. General Hospital of Zone No.47, IMSS, Mexico, D.F., Mexico;7. General Hospital of Zone A1, IMSS, Mexico, D.F., Mexico;1. Institute for Ageing and Health, Newcastle University, Campus for Ageing and Vitality, Newcastle upon Tyne NE4 5PL, UK;2. Wellcome Trust Centre for Mitochondrial Research, Institute of Genetic Medicine, Newcastle University, Newcastle upon Tyne NE1 4LP, UK;1. Instituto de Biología Celular, INICSA, Córdoba, Argentina;2. Escuela de Nutrición, FCM-Universidad Nacional de Córdoba, Córdoba, Argentina;1. Medical Research Unit in Nephrology Diseases, Specialty Hospital, Centro Médico Nacional Siglo XXI, Mexican Social Security Institute, Mexico City, Mexico;2. Pathology Service, National Institute of Cardiology “Dr. Ignacio Chávez”, Mexico City, Mexico;3. Department of Health Sciences, Autonomous Metropolitan University, Iztapalapa, Mexico City, Mexico;1. Department of Psychiatry, Boston Children''s Hospital, Boston, Massachusetts;2. Department of Cardiology, Boston Children''s Hospital, Boston, Massachusetts;3. Department of Psychiatry, Harvard Medical School, Boston, Massachusetts;4. Department of Pediatrics, Harvard Medical School, Boston, Massachusetts
Abstract:
The mind–body connection is receiving increasing scrutiny in a large number of clinical settings, although research has lagged in the pediatric specialties. Psychoneuroimmunology (PNI) is a novel interdisciplinary scientific field that examines the relationship of the mind to the patient's neurologic, endocrine, and immune systems by examining critical parameters such as the effects of mental stress on wound healing and infection rates. Techniques that modify a patient's emotional and mental responses to illness and surgery have positive effects on their physiology resulting in improved recoveries and higher patient satisfaction rates. In the appropriate clinical settings, an awareness of PNI can enhance outcomes for pediatric surgical patients.
Keywords:Psychoneuroimmunology  Mind–body medicine  Integrative medicine  Stress  Wound healing  Adverse childhood events
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