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A study of the relationship between stress and chronic pain. Can this be statistically evaluated and is there a role for Osteopathy in treating such a combined condition?

David Langdon                                               Supervisor: Simon Chafer

Abstract

Objectives:

It is hypothesised that there is a link between chronic pain and stress and that osteopathic treatment can reduce these factors. This study was designed to see if there is a relationship between chronic pain and stress that can be statistically correlated and whether the treatment of chronic pain using variable osteopathic techniques can, indirectly, lead to a reduction in stress and therefore pain levels.

Methods:

This was a three part, questionnaire based study analysing:

1.                    Any statistical correlation between chronic pain and stress.

2.                    To assess whether osteopathic treatment for chronic pain causes a reduction in stress levels.

3.                    The effect of different treatments on patient stress levels.

 

Results:

Questionnaire 1:

50% of individuals showed a statistically significant relationship between their emotional stress/pain levels. 61.11% of individuals showed a correlation between their physical stress/pain levels. 61.11% showed significant correlation between the totals for stress/pain level. Finally 66.66% had some form of correlation between their stress/pain levels. 33.33% showed no correlation.

Questionnaire 2 (part 1):

Results showed a statistically significant reduction in all the individual questions within the 95% confidence intervals, except for question 2 which just failed.

Questionnaire 2 (part 2):

Insufficient data was available to analyse this questionnaire.

Conclusion:

This project has shown that there is a statistically relevant correlation between chronic pain and stress and osteopathic treatments result in reductions in both pain and stress levels. This could warrant further research in the future to expand on these findings and also to look at the efficacy of different treatment protocols for different presenting conditions.