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Research Article | DOI: https://doi.org/DOI:10.31579/2637-8892/362
1Specialist neonatology, Latifa Hospital, Dubai health, UAE.
2Consultant pediatric, Al Jalila Children's Specialty Hospital, Dubai health, UAE.
3CICU Nurse Manager, Al Jalila Children's Specialty Hospital, Dubai health, UAE.
4Consultant neonatology, Al Jalila Children's Specialty Hospital, Dubai health, UAE.
*Corresponding Author: Rocky Rameshrao Sonale
Citation: Rocky R. Sonale, Mohamed Elmessery, Shaban A. Osman, Munira M. Almaazmi., (2026), Psychological First Aid in Neonatal and Pediatric Critical Care: Supporting Medical Teams and Caregivers, Psychology and Mental Health Care, 10(2): DOI:10.31579/2637-8892/362
Copyright: © 2026, Rocky Rameshrao Sonale. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Received: 29 January 2026 | Accepted: 13 February 2026 | Published: 20 February 2026
Keywords: critical care; family support; healthcare workers; trauma intervention; neonatal intensive care unit; psychological first aid
Background: In neonatal and pediatric critical care, psychological first aid supports medical teams dealing with emotional strains and lessens family anguish. In addition to medical care, it encourages resiliency, compassionate care, and holistic healing. This minireview's objective was to illustrate the importance of psychological first aid in neonatal and pediatric critical care, not only for patients but also for caregivers and medical teams.
Methods: We used a variety of research sources, including Google Scholar, Web of Science, PubMed, Springer, Frontiersin, ELSEVIER, and Scopus. Key phrases including psychological first aid, family support, healthcare professionals, and trauma intervention are used in our research. Up until 2025, studies published in English were included in the search. Articles with no full text available, conference abstracts, and publications written in languages other than English were not included. To find further pertinent studies, the reference lists of chosen publications were also examined.
Results: The results of the literature study show that psychological first aid is widely accepted as an adaptable and a practice-based framework with growing empirical support practice for reducing suffering in pediatric and neonatal critical care. Despite difficulties with standardization and evaluation, PFA showed advantages in lowering parental anxiety, assisting healthcare professionals, and building family resilience across several models (WHO, NCTSN, and Johns Hopkins).
Conclusion: In neonatal and pediatric critical care, PFA provides a useful and flexible framework for addressing psychological distress. Despite implementation problems, its integration can benefit medical teams, improve family functioning, and encourage holistic healing.
In the intensive care unit (ICU), stress is experienced by both healthcare workers (HCWs) and patients and their relatives [1]. High levels of psychological distress have been reported among ICU staff, conscious patients, and family members, as the ICU environment is characterized by multiple stressors, including medical emergencies, invasive procedures, family meetings, and end-of-life situations. Distress is defined as a negative emotional or physical response to a stressor and may manifest as grief, frustration, or physical symptoms such as chest pain or loss of appetite [2]. Because distress can be debilitating, supportive interventions such as active listening, emotional support, and group discussions may be required. However, many HCWs lack formal training in recognizing and addressing distress in patients, families, or colleagues, as critical care education often does not include structured approaches to distress mitigation [3]. Disasters represent large-scale stressors affecting substantial numbers of individuals; however, they are only one category of stress exposure. Applying principles derived from disaster and catastrophe mental health to the healthcare work environment is therefore essential. Psychological first aid (PFA) is one such evidence-informed approach designed to address acute psychological distress across a range of high-stress contexts [4,5]. In neonatal and pediatric critical care settings, PFA is increasingly recognized as an essential component of holistic care, addressing not only infant survival but also the emotional well-being of caregivers and families [6]. Parents of infants admitted to the NICU are exposed to multiple stressors, including uncertainty, separation, and fear of loss, which may lead to anxiety, depression, and post-traumatic stress symptoms. Studies indicate that more than half of NICU parents experience clinically significant anxiety, with fathers also reporting substantial psychological distress, although this population is less frequently studied [7]. Simultaneously, healthcare professionals face considerable emotional burden, particularly in environments with challenging communication dynamics and limited access to formal psychological support services [8]. Family-centered emotional and psycho-spiritual support interventions have been shown to improve parental coping, reduce psychological suffering, and enhance resilience [9]. Consequently, PFA may serve as a critical link between acute medical management and psychological recovery in NICU and PICU settings, benefiting infants, families, and healthcare teams by promoting compassionate, effective care delivery [10]. The aim of this mini-review is to highlight the role and value of psychological first aid for patients, caregivers, and medical teams in neonatal and pediatric critical care.
Study Design
This article was a narrative mini-review based on a structured literature search. It aimed to summarize and synthesize existing evidence on the application of Psychological First Aid in neonatal and pediatric intensive care settings, rather than to conduct a formal systematic review or meta-analysis.
Data Sources and Search Strategy
A structured literature search was conducted to identify studies addressing Psychological First Aid in neonatal and pediatric critical care. The search covered articles published between 2014 and 2025 and was performed using the following databases: PubMed, Scopus, Web of Science, ScienceDirect (Elsevier), SpringerLink, Frontiers, and Google Scholar. Search terms included combinations of keywords such as psychological first aid, neonatal intensive care unit (NICU), pediatric intensive care unit (PICU), PFA models, elements of PFA, and implementation challenges. Reference lists of relevant articles were also manually screened to identify additional eligible studies.
Eligibility Criteria
Only full-text articles published in English and appearing in peer-reviewed journals were considered. Studies were eligible for inclusion if they addressed Psychological First Aid or related psychosocial support interventions in neonatal or pediatric critical care settings, with a focus on patients’ families, caregivers, and/or healthcare professionals. Eligible publications included original research articles, systematic or narrative reviews, and meta-analyses discussing PFA principles, models, implementation strategies, or reported outcomes. Articles were excluded if PFA or psychological support in NICU or PICU settings was not mentioned in the title or abstract, or if the content was not relevant to neonatal or pediatric critical care contexts.
Data Extraction and Synthesis
Relevant data were extracted from included studies, including study characteristics, target population, type of PFA model, implementation setting (NICU or PICU), reported psychological outcomes, feasibility and acceptability of interventions, and key findings related to psychological support. Given the heterogeneity of study designs and outcomes, findings were synthesized narratively to identify common themes and patterns across the literature.
Outcomes of Interest
Primary outcomes included indicators of psychological well-being among healthcare professionals and caregivers, such as stress, anxiety, burnout, coping capacity, and resilience. Secondary outcomes encompassed perceived social support, satisfaction with PFA interventions, feasibility and acceptability of implementation, and reported effects on team communication and caregiver engagement.
The reviewed literature indicates increasing recognition of Psychological First Aid as an effective early psychosocial intervention in neonatal and pediatric intensive care settings. Across studies, PFA was consistently described as a flexible, non-specialist approach aimed at reducing acute distress and supporting adaptive coping among patients’ families, caregivers, and HCWs in NICU and PICU environments. Multiple PFA frameworks were identified, most commonly the Psychological First Aid: Field Operations Guide, the WHO Psychological First Aid Guide for Field Workers, and the Johns Hopkins RAPID PFA model. Despite variations in structure, these models shared core principles, including promoting safety and stabilization, calmness, connectedness, self-efficacy, and hope. Model adaptations to suit specific clinical and cultural contexts were frequently reported, particularly in resource-limited settings. Regarding outcomes, the literature suggests that PFA contributes to reduced anxiety and emotional distress, improved coping, and enhanced resilience among parents of critically ill neonates and children. Among healthcare professionals, PFA was associated with improved stress management and perceived emotional support, especially during high-demand situations such as pandemics. Although quantitative evidence remains limited, qualitative findings consistently emphasized the acceptability and practical value of PFA in critical care environments. Implementation patterns showed considerable variability in timing, duration, and delivery format. Most interventions were delivered in person, either individually or in group settings, with early post-stressor application commonly emphasized. Key challenges included limited standardization across PFA models, variability in intervention fidelity, time constraints within intensive care settings, and a lack of robust high-quality outcome studies. Nevertheless, the reviewed literature supports PFA as a feasible and valuable first-line psychosocial support strategy in neonatal and pediatric critical care.
1. Psychological First Aid
National Child Traumatic Stress Network (NCTSN) defines PFA as an evidence-informed intervention “designed to foster short- and long-term adaptive functioning and coping while reducing initial distress following traumatic events”. Individuals exposed to disasters often experience a wide range of early emotional responses, including psychological and spiritual distress, which may interfere with their ability to cope, adapt to changing circumstances, or engage in effective problem-solving. Compassionate and practical PFA interventions aim to support affected individuals in restoring coping capacities and initiating the recovery process [11]. PFA techniques are designed for use by individuals involved in disaster response and are based on the assumption that, with appropriate support, most disaster-affected individuals can adapt effectively to adverse circumstances. The guiding principles of PFA are grounded in disaster research demonstrating a strong association between psychosocial support and psychological recovery [12]. In a seminal publication, Hobfoll and colleagues identified five essential elements of early intervention following mass trauma: safety, calmness, connectedness, self-efficacy, and hope. Despite the absence of a single standardized PFA model or curriculum, more than 25 PFA training programs were developed and adapted in the post-9/11 era for diverse populations, including disaster responders and survivors across different cultural contexts [6]. PFA principles have been tailored to meet the needs of specific groups, such as public health professionals, school-aged children and educators, parents of young children, individuals with special needs, and residents and staff of long-term care facilities. In addition, international organizations, including the World Health Organization, the United Nations Inter-Agency Standing Committee, and the International Red Cross, have developed multilingual PFA programs to support disaster-affected populations, humanitarian workers, and refugees. Although PFA is widely implemented as an early intervention strategy, ongoing evaluation of the effectiveness of different PFA models remains essential [13].
1.1. Perinatal, Newborn and PFA
Perinatal nurses who provide care to pregnant women, newborns, and childbearing families in acute care settings, field hospitals, and community shelters are among the healthcare professionals qualified to deliver PFA as part of disaster response efforts. Integrating PFA principles into routine nursing practice enables nurses to provide emotional support and reassurance to mothers and families during the initial, highly stressful period following a disaster. As healthcare systems gradually return to standard operations, mental health assessments and referrals to social support services become integral components of comprehensive care [6]. Understanding the unique experiences of women in the immediate hours and days following a catastrophic event is essential. All healthcare providers who interact with affected women or their families share responsibility for delivering early psychosocial support during this critical period. The recommended elements of PFA-guided interactions are outlined through the eight core action steps described in the NCTSN Field Operations Guide [11].
1.2. PFA Models
Training assessment studies predominantly relied on three Psychological First Aid models, namely the Psychological First Aid: Field Operations Guide, the Johns Hopkins Guide to Psychological First Aid, and the Psychological First Aid Guide for Field Workers. Hobfoll's five primary PFA goals, i) how to approach and listen, (ii) the needs assessment, (iii) offering informational support, (iv) referral, and (v) self-care are used to compare the approaches in this table. Additionally, contrasted are the settings in which assessments have been conducted and the available resources [14].
1.2.1. Psychological First Aid: Guide for Field Workers
Developed with the support of 24 humanitarian organizations and informed by feedback from 60 international peer reviewers, this approach was created through collaboration between the World Health Organization (WHO), World Vision International, and the War Trauma Foundation. The handbook was intentionally written in clear and accessible language to facilitate adaptation across diverse sociocultural contexts, particularly in low- and middle-income countries (LMICs). The WHO PFA guide was widely disseminated in humanitarian settings, as it was endorsed as a core component of crisis response within the Inter-Agency Standing Committee (IASC) guidelines on Mental Health and Psychosocial Support (MHPSS) [14]. In addition, a facilitator’s manual was developed, and the PFA Field Workers’ Handbook was translated into more than 20 languages and adapted for specific contexts, including outbreaks such as Ebola Virus Disease. The WHO further collaborated with international organizations and local institutions to provide resources and establish networks that support humanitarian capacity-building initiatives, particularly in LMICs, thereby promoting the global expansion of PFA training programs [15].
1.2.2. Psychological First Aid: Field Operations Guide
The National Center for Posttraumatic Stress Disorder (PTSD) in America and the National Child Traumatic Stress Network worked together to develop this model. To better prepare first responders to handle the mental health effects of responding to disasters and public health emergencies, the American Red Cross, the International Federation of the Red Cross, and the National Center for PTSD have all argued that PFA training should be a priority, required skills-based training [16]. The training methods have been created and made available as open access materials since the publication of the second and most recent edition of the PFA handbook in 2006, along with a number of translations and system-specific modifications. The widespread use of PFA as a disaster intervention tool was facilitated, in part, by the provision of operation instructions for relevant groups (such as medical reserve corps volunteers, nursing home workers, and the homeless) [17].
1.2.3. The Johns Hopkins Guide to Psychological First Aid
Jeffrey Lating and George Everly created this model. The guidebook was created in partnership with the United States Centers for Disease Control and Johns Hopkins University, which provided organizational support based on their combined field experience. A major program with 14 preparedness and emergency response learning centers was developed to equip the public health personnel with PFA competencies in order to increase surge capacity in one of the most disaster-prone areas of the country. Expert consensus further improved the current model [14]. Unlike the other two approaches, the Johns Hopkins Guide model, also called the RAPID PFA model, claims to be theory-driven, empirically proven, and evidence-based. In a randomized controlled study, a therapy intervention was assessed using the Johns Hopkins Guide to PFA [18].
1.2.4. Mixed Models
Additionally, a combination of the components of the three well-known models mentioned above was found. These customized PFA training sessions were designed for school counselors and college students. Among them was the instantaneous cognitive-functional PFA (ICF-PFA), commonly referred to as the SIX Cs model. Commitment, challenge, control, continuity and cognitive communication were their six fundamental components [19].
2. Elements of PFA
2.1. Being there
PFA [20] begins with the “ministry of presence,” emphasizing the importance of being present, supportive, and empathetic. In ICU settings, this means spending meaningful time with patients, families, and colleagues, offering comfort, attending to urgent needs, and observing stressful events first hand. Being physically present allows caregivers to provide ongoing support that goes beyond brief or point-in-time interventions [21–24].
2.2. Safety and stabilization
Ensuring safety and stability involves removing individuals from physical danger and addressing potentially disruptive behaviors. In the ICU, this may include de-escalating conflicts, providing privacy for emotional regulation, and seeking security or medical assistance when needed. Promoting safety early helps prevent escalation into harm to self or others [25–27].
2.3. Skilled listening
Skilled listening is a core component of PFA [20]. Healthcare providers attentively hear patients, families, and colleagues, allowing them to express distress without forcing discussion of upsetting details. Listening carefully can also yield clinically relevant information regarding prior injuries, medication use, mental health, or exposure to stressors [28–30].
2.4. Education and reassurance
PFA helps individuals understand the situation and their emotional responses [31]. The type of education and reassurance provided depends on individual characteristics and the nature of the stressor. Normalizing and validating emotional reactions can be particularly reassuring for individuals without underlying mental illness [32, 33]. In critical care environments, healthcare professionals may apply these principles to support stressed colleagues or comfort grieving families [34]. This includes normalizing and validating feelings, providing guidance on coping strategies, addressing stigma, and offering psychoeducation to reduce anxiety and depressive symptoms. In ICU settings, education and reassurance support both patients’ families and stressed healthcare staff [35–40].
2.5. Coping and stress management
Psychological first aid promotes emotional expression, self-care, and adaptive coping. Interventions encourage use of social support, personal strategies such as self-talk and humor, and maintaining balance in daily routines. Stress management helps restore control and facilitates recovery during routine ICU operations or major crises [41–44].
2.6. Problem solving
Practical problem-solving support can enhance resilience in patients, families, and HCWs. Strategies include prioritizing tasks, creating lists, weighing options, breaking problems into manageable steps, and assisting in complex medical or personal decisions. Effective guidance may help individuals learn new coping strategies and strengthen adaptive behaviors [15,27].
2.7. Connect with support
Support from family, peers, and professional services accelerates recovery and reduces vulnerability to psychological distress. Encouraging connections with informal and formal networks helps individuals navigate stress and facilitates coping with challenging medical or emotional situations [45–48].
2.8. Acute symptom management
Early hyperarousal may manifest as anxiety, restlessness, insomnia, or difficulty concentrating. PFA supports symptom management through distraction techniques, relaxation exercises, structured activities, and, if needed, short-term pharmacological interventions. Such strategies benefit ICU patients, families, and staff [27,49].
2.9. Know when more help is needed
Some individuals may require additional support, especially those with persistent distress, pre-existing mental health conditions, or high-risk behaviors. Recognizing warning signs and referring to mental health professionals ensures timely evaluation and appropriate intervention [40, 50]. Institutions may identify high-risk individuals through structured psychiatric screening and involvement of mental health specialists during crises. ICU physicians providing PFA should be familiar with available mental health services to facilitate timely referral. Leadership support is essential in ensuring staff awareness of accessible resources [51-53].
2.10. Caring for the caregivers
Caregivers themselves may experience significant psychological distress in high-stress situations. Factors include prolonged exposure to stress, risk of injury, concern for loved ones, loss of resources, demanding work conditions, fatigue, separation from support systems, and moral dilemmas. Recognizing these risks is essential to provide adequate support to healthcare teams and families [27].
3. The Effectiveness of psychological first aid as a therapeutic intervention after trauma
According to Gradus and Galea, a traumatic event is defined as any experience that an individual undergoes, witnesses, or is confronted with that involves actual or threatened death, serious injury, or a violation of one’s own or others’ physical integrity [54]. Exposure to highly stressful events, including violent crime, severe illness, and natural disasters, is relatively common. Among the potential psychological consequences of such exposures, post-traumatic stress disorder (PTSD) is the most frequently reported psychopathological outcome, with lifetime prevalence estimates ranging from 1.3% to 22.8% [55]. Although numerous models and frameworks of psychological first aid (PFA) have been developed, PFA continues to be widely implemented to reduce the adverse psychological effects of disasters and severe traumatic events, despite limited high-quality empirical evidence supporting its effectiveness [56]. The promotion of PFA as a primary early intervention following mass trauma has been strongly supported through international collaboration among governments and global organizations [31]. Notably, the Inter-Agency Standing Committee (IASC) guidelines on Mental Health and Psychosocial Support (MHPSS) in humanitarian settings explicitly endorse the use of PFA [57]. Furthermore, specific PFA implementation guidelines have been developed to support mental health responses during public health emergencies, including the COVID-19 pandemic and Ebola outbreaks. PFA is widely valued for several well-recognized strengths, particularly its flexibility, ease of implementation, and suitability for use by frontline non-specialist caregivers without formal mental health training [56]. Its core advantage lies in providing an immediate, supportive response without pathologizing individuals who have experienced diverse traumatic events. Accordingly, PFA has been applied across a range of contexts, including support for victims of criminal violence, individuals experiencing homelessness, and patients with physical injuries [58–60]. Despite ongoing efforts to develop more structured preventive interventions, PFA remains widely regarded as the essential first step in psychosocial support following traumatic exposure [43].
4. Practical Applications of PFA in NICU/PICU Settings
To enhance the clinical utility of PFA in neonatal and pediatric critical care, concrete strategies can help translate theory into daily practice. Parents of extremely preterm infants often experience emotional disruption, uncertainty, and loss of parental role, necessitating structured psychosocial support from NICU staff. Interventions such as empathic communication, early informational updates, and trust‑building interactions between healthcare providers and parents can reduce parental stress and support coping processes throughout hospitalization. Further, incorporating parental peer support program empowers current parents and facilitates coping by normalizing emotional responses and enhancing engagement in infant care [61, 62]. In addition to parent focused strategies, trauma informed care principles tailored for NICU settings emphasize proactive communication, safety, and empowerment. Techniques such as explaining procedures clearly before they occur, involving parents as active partners in care, and respecting parental expertise about their infant help alleviate uncertainty and build parental confidence. These approaches align with trauma informed frameworks that foster connectedness and perceived safety, which are essential components of PFA when applied in high stress care environments such as the NICU [63]. In PICU contexts, psychosocial interventions aimed at mitigating adverse psychological outcomes for children and their families highlight the importance of information provision, psychoeducation, and empowerment programs. Scoping review evidence indicates that structured interventions, including family engagement models and tailored coping support, can reduce parental stress, improve emotional coping, and increase family participation in care during and after PICU admission. Routine integration of such psychosocial strategies within clinical workflows allows PICU teams to address both acute distress and longer-term psychological needs of families, making PFA principles actionable in everyday [64].
5. NICU Mental Health Professional Recommendations
Mental health professionals (MHPs) embedded within the NICU team are encouraged to provide systematic screening for psychological distress, guidance on recognizing moral distress among staff, and support for communication strategies with families. They should also facilitate referral pathways for parents requiring specialized psychological care beyond the routine NICU support. These roles complement broader psychosocial strategies and ensure that parents with complex or persistent needs are identified early and receive timely interventions [65]. Mental health professionals are advised to focus on structured peer support programs, connecting new parents with trained families who can provide guidance and emotional support. This targeted intervention aims to normalize emotional responses, enhance parental coping, and provide specialized assistance when routine support from staff is insufficient. These recommendations reinforce existing NICU psychosocial practices by filling gaps for parents with higher psychological needs, without overlapping with general trauma-informed strategies or day-to-day practical interventions [65].
6. Implementation Challenges of PFA Intervention
Wang et al [56]. report that the majority of PFA interventions currently being evaluated for trauma settings are delivered in-person, either individually or in group formats. Qualitative studies indicate that PFA is perceived as a practical, time-sensitive, and effective approach. In particular, recipients in collectivist cultures often prefer peer providers and group-based arrangements, highlighting the importance of reducing stigma and encouraging help-seeking behaviors. Despite the popularity of PFA due to its adaptability, rapid deployment, and simplicity, providers have raised significant implementation challenges [56]. The timing and duration of PFA interventions vary widely, ranging from delivery immediately following trauma exposure to ongoing support for up to two years. Sessions may consist of a single encounter or multiple sessions spanning two weeks to ten months. Although formal guidelines provide limited recommendations, there is broad consensus that early intervention should occur within the initial hours, days, or weeks after trauma exposure [66].
Shorter PFA interventions delivered soon after trauma exposure fulfill the core principle of immediate crisis support. PFA was originally developed as a brief crisis intervention prioritizing rapid access to assistance during the acute post-trauma phase. It can be delivered as a stand-alone intervention for urgent support, as part of a stepped-care model, or within broader prevention and treatment programs. For instance, during the COVID-19 pandemic, PFA was typically employed as an initial step to facilitate phased mental health care rather than as a stand-alone treatment [59, 67]. However, a lack of transparency in PFA protocol documentation particularly regarding adaptation and intervention fidelity complicates differentiation among PFA types. In practice, PFA must be sufficiently flexible to be tailored to individual needs while maintaining the integrity of different approaches. Adaptations are an inherent aspect of PFA implementation due to its versatility, although certain PFA variants with associated manuals may implicitly incorporate these adjustments [14].
Critical care units including the intensive care unit, NICU, and PICU use Psychological First Aid (PFA), a versatile, practice-based framework with growing empirical support intervention for the psychological and emotional effects of high stressors. PFA provides a structured yet flexible framework for assisting patients, families, and healthcare providers by fostering safety, stability, competent listening, reassurance, coping, and connection with support. Its main advantages are its simplicity, scalability, and adaptability to a variety of situations, from major natural disasters to routine healthcare demands. Ongoing research and development in neonatal and pediatric critical care, where families and caregivers bear heavy emotional loads, ensures consistent efficacy and integration into healthcare systems. In the end, incorporating PFA into critical care procedures can improve resilience, lessen suffering, and promote a thorough, compassionate recovery for everyone impacted by medical emergencies.
Some modern publications, references, and manuscripts were difficult to access due to paywalls, and certain studies were incomplete or lacked sufficient detail, limiting their reliability. Additionally, some relevant studies were published in predatory or low-quality journals. As this is a narrative mini-review, the included articles were selectively chosen based on relevance, and the review does not aim to provide a comprehensive systematic synthesis of all existing literature.
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Dr.Tania Muñoz, My experience as researcher and author of a review article in The Journal Clinical Cardiology and Interventions has been very enriching and stimulating. The editorial team is excellent, performs its work with absolute responsibility and delivery. They are proactive, dynamic and receptive to all proposals. Supporting at all times the vast universe of authors who choose them as an option for publication. The team of review specialists, members of the editorial board, are brilliant professionals, with remarkable performance in medical research and scientific methodology. Together they form a frontline team that consolidates the JCCI as a magnificent option for the publication and review of high-level medical articles and broad collective interest. I am honored to be able to share my review article and open to receive all your comments.
“The peer review process of JPMHC is quick and effective. Authors are benefited by good and professional reviewers with huge experience in the field of psychology and mental health. The support from the editorial office is very professional. People to contact to are friendly and happy to help and assist any query authors might have. Quality of the Journal is scientific and publishes ground-breaking research on mental health that is useful for other professionals in the field”.
Dear editorial department: On behalf of our team, I hereby certify the reliability and superiority of the International Journal of Clinical Case Reports and Reviews in the peer review process, editorial support, and journal quality. Firstly, the peer review process of the International Journal of Clinical Case Reports and Reviews is rigorous, fair, transparent, fast, and of high quality. The editorial department invites experts from relevant fields as anonymous reviewers to review all submitted manuscripts. These experts have rich academic backgrounds and experience, and can accurately evaluate the academic quality, originality, and suitability of manuscripts. The editorial department is committed to ensuring the rigor of the peer review process, while also making every effort to ensure a fast review cycle to meet the needs of authors and the academic community. Secondly, the editorial team of the International Journal of Clinical Case Reports and Reviews is composed of a group of senior scholars and professionals with rich experience and professional knowledge in related fields. The editorial department is committed to assisting authors in improving their manuscripts, ensuring their academic accuracy, clarity, and completeness. Editors actively collaborate with authors, providing useful suggestions and feedback to promote the improvement and development of the manuscript. We believe that the support of the editorial department is one of the key factors in ensuring the quality of the journal. Finally, the International Journal of Clinical Case Reports and Reviews is renowned for its high- quality articles and strict academic standards. The editorial department is committed to publishing innovative and academically valuable research results to promote the development and progress of related fields. The International Journal of Clinical Case Reports and Reviews is reasonably priced and ensures excellent service and quality ratio, allowing authors to obtain high-level academic publishing opportunities in an affordable manner. I hereby solemnly declare that the International Journal of Clinical Case Reports and Reviews has a high level of credibility and superiority in terms of peer review process, editorial support, reasonable fees, and journal quality. Sincerely, Rui Tao.
Clinical Cardiology and Cardiovascular Interventions I testity the covering of the peer review process, support from the editorial office, and quality of the journal.
Clinical Cardiology and Cardiovascular Interventions, we deeply appreciate the interest shown in our work and its publication. It has been a true pleasure to collaborate with you. The peer review process, as well as the support provided by the editorial office, have been exceptional, and the quality of the journal is very high, which was a determining factor in our decision to publish with you.
The peer reviewers process is quick and effective, the supports from editorial office is excellent, the quality of journal is high. I would like to collabroate with Internatioanl journal of Clinical Case Reports and Reviews journal clinically in the future time.
Clinical Cardiology and Cardiovascular Interventions, I would like to express my sincerest gratitude for the trust placed in our team for the publication in your journal. It has been a true pleasure to collaborate with you on this project. I am pleased to inform you that both the peer review process and the attention from the editorial coordination have been excellent. Your team has worked with dedication and professionalism to ensure that your publication meets the highest standards of quality. We are confident that this collaboration will result in mutual success, and we are eager to see the fruits of this shared effort.
Dear Dr. Jessica Magne, Editorial Coordinator 0f Clinical Cardiology and Cardiovascular Interventions, I hope this message finds you well. I want to express my utmost gratitude for your excellent work and for the dedication and speed in the publication process of my article titled "Navigating Innovation: Qualitative Insights on Using Technology for Health Education in Acute Coronary Syndrome Patients." I am very satisfied with the peer review process, the support from the editorial office, and the quality of the journal. I hope we can maintain our scientific relationship in the long term.
Dear Monica Gissare, - Editorial Coordinator of Nutrition and Food Processing. ¨My testimony with you is truly professional, with a positive response regarding the follow-up of the article and its review, you took into account my qualities and the importance of the topic¨.
Dear Dr. Jessica Magne, Editorial Coordinator 0f Clinical Cardiology and Cardiovascular Interventions, The review process for the article “The Handling of Anti-aggregants and Anticoagulants in the Oncologic Heart Patient Submitted to Surgery” was extremely rigorous and detailed. From the initial submission to the final acceptance, the editorial team at the “Journal of Clinical Cardiology and Cardiovascular Interventions” demonstrated a high level of professionalism and dedication. The reviewers provided constructive and detailed feedback, which was essential for improving the quality of our work. Communication was always clear and efficient, ensuring that all our questions were promptly addressed. The quality of the “Journal of Clinical Cardiology and Cardiovascular Interventions” is undeniable. It is a peer-reviewed, open-access publication dedicated exclusively to disseminating high-quality research in the field of clinical cardiology and cardiovascular interventions. The journal's impact factor is currently under evaluation, and it is indexed in reputable databases, which further reinforces its credibility and relevance in the scientific field. I highly recommend this journal to researchers looking for a reputable platform to publish their studies.
Dear Editorial Coordinator of the Journal of Nutrition and Food Processing! "I would like to thank the Journal of Nutrition and Food Processing for including and publishing my article. The peer review process was very quick, movement and precise. The Editorial Board has done an extremely conscientious job with much help, valuable comments and advices. I find the journal very valuable from a professional point of view, thank you very much for allowing me to be part of it and I would like to participate in the future!”
Dealing with The Journal of Neurology and Neurological Surgery was very smooth and comprehensive. The office staff took time to address my needs and the response from editors and the office was prompt and fair. I certainly hope to publish with this journal again.Their professionalism is apparent and more than satisfactory. Susan Weiner
My Testimonial Covering as fellowing: Lin-Show Chin. The peer reviewers process is quick and effective, the supports from editorial office is excellent, the quality of journal is high. I would like to collabroate with Internatioanl journal of Clinical Case Reports and Reviews.
My experience publishing in Psychology and Mental Health Care was exceptional. The peer review process was rigorous and constructive, with reviewers providing valuable insights that helped enhance the quality of our work. The editorial team was highly supportive and responsive, making the submission process smooth and efficient. The journal's commitment to high standards and academic rigor makes it a respected platform for quality research. I am grateful for the opportunity to publish in such a reputable journal.
My experience publishing in International Journal of Clinical Case Reports and Reviews was exceptional. I Come forth to Provide a Testimonial Covering the Peer Review Process and the editorial office for the Professional and Impartial Evaluation of the Manuscript.
I would like to offer my testimony in the support. I have received through the peer review process and support the editorial office where they are to support young authors like me, encourage them to publish their work in your esteemed journals, and globalize and share knowledge globally. I really appreciate your journal, peer review, and editorial office.
Dear Agrippa Hilda- Editorial Coordinator of Journal of Neuroscience and Neurological Surgery, "The peer review process was very quick and of high quality, which can also be seen in the articles in the journal. The collaboration with the editorial office was very good."
I would like to express my sincere gratitude for the support and efficiency provided by the editorial office throughout the publication process of my article, “Delayed Vulvar Metastases from Rectal Carcinoma: A Case Report.” I greatly appreciate the assistance and guidance I received from your team, which made the entire process smooth and efficient. The peer review process was thorough and constructive, contributing to the overall quality of the final article. I am very grateful for the high level of professionalism and commitment shown by the editorial staff, and I look forward to maintaining a long-term collaboration with the International Journal of Clinical Case Reports and Reviews.
To Dear Erin Aust, I would like to express my heartfelt appreciation for the opportunity to have my work published in this esteemed journal. The entire publication process was smooth and well-organized, and I am extremely satisfied with the final result. The Editorial Team demonstrated the utmost professionalism, providing prompt and insightful feedback throughout the review process. Their clear communication and constructive suggestions were invaluable in enhancing my manuscript, and their meticulous attention to detail and dedication to quality are truly commendable. Additionally, the support from the Editorial Office was exceptional. From the initial submission to the final publication, I was guided through every step of the process with great care and professionalism. The team's responsiveness and assistance made the entire experience both easy and stress-free. I am also deeply impressed by the quality and reputation of the journal. It is an honor to have my research featured in such a respected publication, and I am confident that it will make a meaningful contribution to the field.
"I am grateful for the opportunity of contributing to [International Journal of Clinical Case Reports and Reviews] and for the rigorous review process that enhances the quality of research published in your esteemed journal. I sincerely appreciate the time and effort of your team who have dedicatedly helped me in improvising changes and modifying my manuscript. The insightful comments and constructive feedback provided have been invaluable in refining and strengthening my work".
I thank the ‘Journal of Clinical Research and Reports’ for accepting this article for publication. This is a rigorously peer reviewed journal which is on all major global scientific data bases. I note the review process was prompt, thorough and professionally critical. It gave us an insight into a number of important scientific/statistical issues. The review prompted us to review the relevant literature again and look at the limitations of the study. The peer reviewers were open, clear in the instructions and the editorial team was very prompt in their communication. This journal certainly publishes quality research articles. I would recommend the journal for any future publications.
Dear Jessica Magne, with gratitude for the joint work. Fast process of receiving and processing the submitted scientific materials in “Clinical Cardiology and Cardiovascular Interventions”. High level of competence of the editors with clear and correct recommendations and ideas for enriching the article.
We found the peer review process quick and positive in its input. The support from the editorial officer has been very agile, always with the intention of improving the article and taking into account our subsequent corrections.
My article, titled 'No Way Out of the Smartphone Epidemic Without Considering the Insights of Brain Research,' has been republished in the International Journal of Clinical Case Reports and Reviews. The review process was seamless and professional, with the editors being both friendly and supportive. I am deeply grateful for their efforts.
To Dear Erin Aust – Editorial Coordinator of Journal of General Medicine and Clinical Practice! I declare that I am absolutely satisfied with your work carried out with great competence in following the manuscript during the various stages from its receipt, during the revision process to the final acceptance for publication. Thank Prof. Elvira Farina
Dear Jessica, and the super professional team of the ‘Clinical Cardiology and Cardiovascular Interventions’ I am sincerely grateful to the coordinated work of the journal team for the no problem with the submission of my manuscript: “Cardiometabolic Disorders in A Pregnant Woman with Severe Preeclampsia on the Background of Morbid Obesity (Case Report).” The review process by 5 experts was fast, and the comments were professional, which made it more specific and academic, and the process of publication and presentation of the article was excellent. I recommend that my colleagues publish articles in this journal, and I am interested in further scientific cooperation. Sincerely and best wishes, Dr. Oleg Golyanovskiy.
Dear Ashley Rosa, Editorial Coordinator of the journal - Psychology and Mental Health Care. " The process of obtaining publication of my article in the Psychology and Mental Health Journal was positive in all areas. The peer review process resulted in a number of valuable comments, the editorial process was collaborative and timely, and the quality of this journal has been quickly noticed, resulting in alternative journals contacting me to publish with them." Warm regards, Susan Anne Smith, PhD. Australian Breastfeeding Association.
Dear Jessica Magne, Editorial Coordinator, Clinical Cardiology and Cardiovascular Interventions, Auctores Publishing LLC. I appreciate the journal (JCCI) editorial office support, the entire team leads were always ready to help, not only on technical front but also on thorough process. Also, I should thank dear reviewers’ attention to detail and creative approach to teach me and bring new insights by their comments. Surely, more discussions and introduction of other hemodynamic devices would provide better prevention and management of shock states. Your efforts and dedication in presenting educational materials in this journal are commendable. Best wishes from, Farahnaz Fallahian.
Dear Maria Emerson, Editorial Coordinator, International Journal of Clinical Case Reports and Reviews, Auctores Publishing LLC. I am delighted to have published our manuscript, "Acute Colonic Pseudo-Obstruction (ACPO): A rare but serious complication following caesarean section." I want to thank the editorial team, especially Maria Emerson, for their prompt review of the manuscript, quick responses to queries, and overall support. Yours sincerely Dr. Victor Olagundoye.
Dear Ashley Rosa, Editorial Coordinator, International Journal of Clinical Case Reports and Reviews. Many thanks for publishing this manuscript after I lost confidence the editors were most helpful, more than other journals Best wishes from, Susan Anne Smith, PhD. Australian Breastfeeding Association.
Dear Agrippa Hilda, Editorial Coordinator, Journal of Neuroscience and Neurological Surgery. The entire process including article submission, review, revision, and publication was extremely easy. The journal editor was prompt and helpful, and the reviewers contributed to the quality of the paper. Thank you so much! Eric Nussbaum, MD
Dr Hala Al Shaikh This is to acknowledge that the peer review process for the article ’ A Novel Gnrh1 Gene Mutation in Four Omani Male Siblings, Presentation and Management ’ sent to the International Journal of Clinical Case Reports and Reviews was quick and smooth. The editorial office was prompt with easy communication.
Dear Erin Aust, Editorial Coordinator, Journal of General Medicine and Clinical Practice. We are pleased to share our experience with the “Journal of General Medicine and Clinical Practice”, following the successful publication of our article. The peer review process was thorough and constructive, helping to improve the clarity and quality of the manuscript. We are especially thankful to Ms. Erin Aust, the Editorial Coordinator, for her prompt communication and continuous support throughout the process. Her professionalism ensured a smooth and efficient publication experience. The journal upholds high editorial standards, and we highly recommend it to fellow researchers seeking a credible platform for their work. Best wishes By, Dr. Rakhi Mishra.
Dear Jessica Magne, Editorial Coordinator, Clinical Cardiology and Cardiovascular Interventions, Auctores Publishing LLC. The peer review process of the journal of Clinical Cardiology and Cardiovascular Interventions was excellent and fast, as was the support of the editorial office and the quality of the journal. Kind regards Walter F. Riesen Prof. Dr. Dr. h.c. Walter F. Riesen.
Dear Ashley Rosa, Editorial Coordinator, International Journal of Clinical Case Reports and Reviews, Auctores Publishing LLC. Thank you for publishing our article, Exploring Clozapine's Efficacy in Managing Aggression: A Multiple Single-Case Study in Forensic Psychiatry in the international journal of clinical case reports and reviews. We found the peer review process very professional and efficient. The comments were constructive, and the whole process was efficient. On behalf of the co-authors, I would like to thank you for publishing this article. With regards, Dr. Jelle R. Lettinga.
Dear Clarissa Eric, Editorial Coordinator, Journal of Clinical Case Reports and Studies, I would like to express my deep admiration for the exceptional professionalism demonstrated by your journal. I am thoroughly impressed by the speed of the editorial process, the substantive and insightful reviews, and the meticulous preparation of the manuscript for publication. Additionally, I greatly appreciate the courteous and immediate responses from your editorial office to all my inquiries. Best Regards, Dariusz Ziora
Dear Chrystine Mejia, Editorial Coordinator, Journal of Neurodegeneration and Neurorehabilitation, Auctores Publishing LLC, We would like to thank the editorial team for the smooth and high-quality communication leading up to the publication of our article in the Journal of Neurodegeneration and Neurorehabilitation. The reviewers have extensive knowledge in the field, and their relevant questions helped to add value to our publication. Kind regards, Dr. Ravi Shrivastava.
Dear Clarissa Eric, Editorial Coordinator, Journal of Clinical Case Reports and Studies, Auctores Publishing LLC, USA Office: +1-(302)-520-2644. I would like to express my sincere appreciation for the efficient and professional handling of my case report by the ‘Journal of Clinical Case Reports and Studies’. The peer review process was not only fast but also highly constructive—the reviewers’ comments were clear, relevant, and greatly helped me improve the quality and clarity of my manuscript. I also received excellent support from the editorial office throughout the process. Communication was smooth and timely, and I felt well guided at every stage, from submission to publication. The overall quality and rigor of the journal are truly commendable. I am pleased to have published my work with Journal of Clinical Case Reports and Studies, and I look forward to future opportunities for collaboration. Sincerely, Aline Tollet, UCLouvain.
Dear Ms. Mayra Duenas, Editorial Coordinator, International Journal of Clinical Case Reports and Reviews. “The International Journal of Clinical Case Reports and Reviews represented the “ideal house” to share with the research community a first experience with the use of the Simeox device for speech rehabilitation. High scientific reputation and attractive website communication were first determinants for the selection of this Journal, and the following submission process exceeded expectations: fast but highly professional peer review, great support by the editorial office, elegant graphic layout. Exactly what a dynamic research team - also composed by allied professionals - needs!" From, Chiara Beccaluva, PT - Italy.
Dear Maria Emerson, Editorial Coordinator, we have deeply appreciated the professionalism demonstrated by the International Journal of Clinical Case Reports and Reviews. The reviewers have extensive knowledge of our field and have been very efficient and fast in supporting the process. I am really looking forward to further collaboration. Thanks. Best regards, Dr. Claudio Ligresti
Dear Chrystine Mejia, Editorial Coordinator, Journal of Neurodegeneration and Neurorehabilitation. “The peer review process was efficient and constructive, and the editorial office provided excellent communication and support throughout. The journal ensures scientific rigor and high editorial standards, while also offering a smooth and timely publication process. We sincerely appreciate the work of the editorial team in facilitating the dissemination of innovative approaches such as the Bonori Method.” Best regards, Dr. Matteo Bonori.
I recommend without hesitation submitting relevant papers on medical decision making to the International Journal of Clinical Case Reports and Reviews. I am very grateful to the editorial staff. Maria Emerson was a pleasure to communicate with. The time from submission to publication was an extremely short 3 weeks. The editorial staff submitted the paper to three reviewers. Two of the reviewers commented positively on the value of publishing the paper. The editorial staff quickly recognized the third reviewer’s comments as an unjust attempt to reject the paper. I revised the paper as recommended by the first two reviewers.
Dear Maria Emerson, Editorial Coordinator, Journal of Clinical Research and Reports. Thank you for publishing our case report: "Clinical Case of Effective Fetal Stem Cells Treatment in a Patient with Autism Spectrum Disorder" within the "Journal of Clinical Research and Reports" being submitted by the team of EmCell doctors from Kyiv, Ukraine. We much appreciate a professional and transparent peer-review process from Auctores. All research Doctors are so grateful to your Editorial Office and Auctores Publishing support! I amiably wish our article publication maintained a top quality of your International Scientific Journal. My best wishes for a prosperity of the Journal of Clinical Research and Reports. Hope our scientific relationship and cooperation will remain long lasting. Thank you very much indeed. Kind regards, Dr. Andriy Sinelnyk Cell Therapy Center EmCell
Dear Editorial Team, Clinical Cardiology and Cardiovascular Interventions. It was truly a rewarding experience to work with the journal “Clinical Cardiology and Cardiovascular Interventions”. The peer review process was insightful and encouraging, helping us refine our work to a higher standard. The editorial office offered exceptional support with prompt and thoughtful communication. I highly value the journal’s role in promoting scientific advancement and am honored to be part of it. Best regards, Meng-Jou Lee, MD, Department of Anesthesiology, National Taiwan University Hospital.
Dear Editorial Team, Journal-Clinical Cardiology and Cardiovascular Interventions, “Publishing my article with Clinical Cardiology and Cardiovascular Interventions has been a highly positive experience. The peer-review process was rigorous yet supportive, offering valuable feedback that strengthened my work. The editorial team demonstrated exceptional professionalism, prompt communication, and a genuine commitment to maintaining the highest scientific standards. I am very pleased with the publication quality and proud to be associated with such a reputable journal.” Warm regards, Dr. Mahmoud Kamal Moustafa Ahmed
Dear Maria Emerson, Editorial Coordinator of ‘International Journal of Clinical Case Reports and Reviews’, I appreciate the opportunity to publish my article with your journal. The editorial office provided clear communication during the submission and review process, and I found the overall experience professional and constructive. Best regards, Elena Salvatore.
Dear Mayra Duenas, Editorial Coordinator of ‘International Journal of Clinical Case Reports and Reviews Herewith I confirm an optimal peer review process and a great support of the editorial office of the present journal
Dear Editorial Team, Clinical Cardiology and Cardiovascular Interventions. I am really grateful for the peers review; their feedback gave me the opportunity to reflect on the message and impact of my work and to ameliorate the article. The editors did a great job in addition by encouraging me to continue with the process of publishing.
Dear Cecilia Lilly, Editorial Coordinator, Endocrinology and Disorders, Thank you so much for your quick response regarding reviewing and all process till publishing our manuscript entitled: Prevalence of Pre-Diabetes and its Associated Risk Factors Among Nile College Students, Sudan. Best regards, Dr Mamoun Magzoub.
International Journal of Clinical Case Reports and Reviews is a high quality journal that has a clear and concise submission process. The peer review process was comprehensive and constructive. Support from the editorial office was excellent, since the administrative staff were responsive. The journal provides a fast and timely publication timeline.
Dear Maria Emerson, Editorial Coordinator of International Journal of Clinical Case Reports and Reviews, What distinguishes International Journal of Clinical Case Report and Review is not only the scientific rigor of its publications, but the intellectual climate in which research is evaluated. The submission process is refreshingly free of unnecessary formal barriers and bureaucratic rituals that often complicate academic publishing without adding real value. The peer-review system is demanding yet constructive, guided by genuine scientific dialogue rather than hierarchical or authoritarian attitudes. Reviewers act as collaborators in improving the manuscript, not as gatekeepers imposing arbitrary standards. This journal offers a rare balance: high methodological standards combined with a respectful, transparent, and supportive editorial approach. In an era where publishing can feel more burdensome than research itself, this platform restores the original purpose of peer review — to refine ideas, not to obstruct them Prof. Perlat Kapisyzi, FCCP PULMONOLOGIST AND THORACIC IMAGING.
Dear Grace Pierce, International Journal of Clinical Case Reports and Reviews I appreciate the opportunity to review for Auctore Journal, as the overall editorial process was smooth, transparent and professionally managed. This journal maintains high scientific standards and ensures timely communications with authors, which is truly commendable. I would like to express my special thanks to editor Grace Pierce for his constant guidance, promt responses, and supportive coordination throughout the review process. I am also greatful to Eleanor Bailey from the finance department for her clear communication and efficient handling of all administrative matters. Overall, my experience with Auctore Journal has been highly positive and rewarding. Best regards, Sabita sinha
Dear Mayra Duenas, Editorial Coordinator of the journal IJCCR, I write here a little on my experience as an author submitting to the International Journal of Clinical Case Reports and Reviews (IJCCR). This was my first submission to IJCCR and my manuscript was inherently an outsider’s effort. It attempted to broadly identify and then make some sense of life’s under-appreciated mysteries. I initially had responded to a request for possible submissions. I then contacted IJCCR with a tentative topic for a manuscript. They quickly got back with an approval for the submission, but with a particular requirement that it be medically relevant. I then put together a manuscript and submitted it. After the usual back-and-forth over forms and formality, the manuscript was sent off for reviews. Within 2 weeks I got back 4 reviews which were both helpful and also surprising. Surprising in that the topic was somewhat foreign to medical literature. My subsequent updates in response to the reviewer comments went smoothly and in short order I had a series of proofs to evaluate. All in all, the whole publication process seemed outstanding. It was both helpful in terms of the paper’s content and also in terms of its efficient and friendly communications. Thank you all very much. Sincerely, Ted Christopher, Rochester, NY.
