Understanding the Link Between Stress and Chronic Pain: Key Findings Revealed


Study says depression and anxiety caused by chronic pain may contribute to a poor quality of life and reduce life expectancy.

Woman lying in bed
Photo: Vladislav Muslakov/Unsplash

by Terri Dee
Indiana News Service

INDIANAPOLIS, IN - April is National Stress Awareness Month. Stress is the body's way of processing work, personal, and family pressures, or other triggers.

A new study in the Journal of the American Medical Association has found a link between stress and chronic pain, which is defined as pain that persists for three months or more and lasts beyond the normal healing time of an injury or illness.

Former chiropractor Dr. Sean Pastuch is CEO of Active Life, a personal coaching company focusing on chronic pain-management options.

He suggested that biological, psychological and social interventions could be effective forms of treatment.


What is viewed as pleasurable to some may feel painful to others.

"The connection between all of those three things -- the physical, the mental, and the emotional -- is that when we think about pain, no one's defining what the word means," said Pastuch. "So, if we evaluate what the word 'pain' means, then we come to find that in order for there to be pain, there needs to be a negative emotional component to it."

He said that if you feel something, you have to decide if you like the way it feels or not. And what is viewed as pleasurable to some may feel painful to others.

The study also says depression and anxiety caused by chronic pain may contribute to a poor quality of life and reduce life expectancy.

A 2022 Indiana Chronic Care Policy Alliance report shows almost 8% of adults have chronic pain, with arthritis as the leading disorder.

Patsuch said patients face obstacles in finding a physician who can identify their pain, which means fewer or no opportunities to receive treatment.

"The reason why doctors struggle to help people with chronic pain, and why the confidence level among doctors is low," said Pastuch, "is because of all the medical schools, fewer than 15 actually have dedicated curriculum to supporting a patient with chronic pain."

Of the medical schools that offer a pain-management curriculum, he said the majority focus on students in the anesthetics department.

Patsuch suggested that when a patient is with their doctor, to use words other than "it just hurts." They need to be able to describe what hurts and ask, "How do I want to resolve it?"




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