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      Injury, illness, and emotion: A review of the motivational continuum from trauma through recovery from an ecological perspective

      review-article
      Brain, Behavior, & Immunity - Health
      Elsevier
      Affordances, Allostasis, Ecological engagement, Interoception, Nociplastic pain, Somatisation

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          Graphical abstract

          Highlights

          • Threat, injury, and recovery responses form a psychoneuroimmune continuum.

          • Somatic influences within this continuum motivate ecological (dis-)engagement.

          • Emotional and physical distress are predicted by shared allostatic foundations.

          • Vulnerability to maladaptive trauma responses arises from this allostatic archive.

          • Positive emotion and risk-taking are central in motivating trauma recovery.

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          Most cited references188

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          Structural racism and health inequities in the USA: evidence and interventions

          The Lancet, 389(10077), 1453-1463
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            The revised International Association for the Study of Pain definition of pain: concepts, challenges, and compromises

            The current International Association for the Study of Pain (IASP) definition of pain as "An unpleasant sensory and emotional experience associated with actual or potential tissue damage, or described in terms of such damage" was recommended by the Subcommittee on Taxonomy and adopted by the IASP Council in 1979. This definition has become accepted widely by health care professionals and researchers in the pain field and adopted by several professional, governmental, and nongovernmental organizations, including the World Health Organization. In recent years, some in the field have reasoned that advances in our understanding of pain warrant a reevaluation of the definition and have proposed modifications. Therefore, in 2018, the IASP formed a 14-member, multinational Presidential Task Force comprising individuals with broad expertise in clinical and basic science related to pain, to evaluate the current definition and accompanying note and recommend whether they should be retained or changed. This review provides a synopsis of the critical concepts, the analysis of comments from the IASP membership and public, and the committee's final recommendations for revisions to the definition and notes, which were discussed over a 2-year period. The task force ultimately recommended that the definition of pain be revised to "An unpleasant sensory and emotional experience associated with, or resembling that associated with, actual or potential tissue damage," and that the accompanying notes be updated to a bulleted list that included the etymology. The revised definition and notes were unanimously accepted by the IASP Council early this year.
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              Defining trained immunity and its role in health and disease

              Immune memory is a defining feature of the acquired immune system, but activation of the innate immune system can also result in enhanced responsiveness to subsequent triggers. This process has been termed ‘trained immunity’, a de facto innate immune memory. Research in the past decade has pointed to the broad benefits of trained immunity for host defence but has also suggested potentially detrimental outcomes in immune-mediated and chronic inflammatory diseases. Here we define ‘trained immunity’ as a biological process and discuss the innate stimuli and the epigenetic and metabolic reprogramming events that shape the induction of trained immunity.
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                Author and article information

                Contributors
                Journal
                Brain Behav Immun Health
                Brain Behav Immun Health
                Brain, Behavior, & Immunity - Health
                Elsevier
                2666-3546
                05 January 2023
                February 2023
                05 January 2023
                : 27
                : 100586
                Affiliations
                [1]Leeds Institute of Rheumatic and Musculoskeletal Medicine, University of Leeds, LS2 9JT, UK
                Article
                S2666-3546(22)00176-4 100586
                10.1016/j.bbih.2022.100586
                9841046
                74f8b1c2-242f-41be-a9e5-a915a140ad8a
                © 2023 The Author(s)

                This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).

                History
                : 30 October 2022
                : 15 December 2022
                : 29 December 2022
                Categories
                Review

                affordances,allostasis,ecological engagement,interoception,nociplastic pain,somatisation

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