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- W2023132860 endingPage "704" @default.
- W2023132860 startingPage "681" @default.
- W2023132860 abstract "To regard surgery as an instance of psychological stress can provide a framework for integrating knowledge about psychological and physiological processes in recovery. Within this broad framework this review considers three issues. First, different measures of recovery, including indexes of emotional state, pain, or physiological changes, do not covary. Whereas some of these measures are clinically ambiguous, others, such as hormonal changes, may provide both clinically and theoretically important indexes of the impact of surgery. Second, the importance of psychological factors in recovery remains unclear, partly because of discrepancies between results with physiological and psychological measures. Third, psychological management of surgical stress has been used to change preoperative emotional state or mode of coping. The evidence is, however, ambiguous as to whether effects are beneficial or even harmful. Moreover, the mechanisms that mediate the effects of these procedures remain unclear. An alternative, but less explored, strategy is to target, not the patient, but features of the surgical ward likely to influence the response to stress. These include deficits in social support and restriction of the opportunity for active coping. Psychological procedures must, however, be carefully evaluated for their physiological and psychological effects before being adopted routinely." @default.
- W2023132860 created "2016-06-24" @default.
- W2023132860 creator A5091380756 @default.
- W2023132860 date "1992-01-01" @default.
- W2023132860 modified "2023-09-28" @default.
- W2023132860 title "Psychological factors in surgical stress: Implications for management" @default.
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