“…Stress stimuli are non‐specific, that is, psychological stressors display similar neurohormonal and secretagogue patterns, as well as psycho‐physiologic effects, as those described for physiological stressors (Scantamburlo et al , 2001). A large body of evidence on the impact of emotion, stress and coping style on physiology exists implying that stress and its molecules (neuropeptides, neurotransmitters and cytokines), through their peripheral receptors (Zukowska et al , 2003), may contribute to derangements prevalent in critical illness, including systemic inflammation (Elenkov et al , 2000), cellular stress and oxidative damage (Tanabe et al , 2001; Sivonová et al , 2004; Sobocanec et al , 2005), endothelial dysfunction and coagulopathies (von Känel et al , 2001; Nemccsik et al , 2004), which precipitate high mortality and morbidity. In addition, other evidence suggests that positive affective states, such as hope and relaxation may reverse these adverse consequences (DeWitt et al , 2000; Gitto et al , 2001; Meng et al , 2002).…”