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Orthopaedic Proceedings
Vol. 100-B, Issue SUPP_2 | Pages 9 - 9
1 Feb 2018
Serbic D Ferguson L Smith M Thomas G Pincus T
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Purpose of the study and background

Although pain is usually described as a private experience, how pain is understood and responded to by others is important. A crucial feature of this process is empathy. The aim of this study was to examine the relationship between empathy for pain and observers' health anxiety and fear of pain. The role of the observer's sex and age were also examined.

Methods and results

In this study 159 participants (73 males, mean age=41, SD=19.6) were presented with 16 images of individuals in pain (8 female, 8 male), and subsequently rated their empathy towards them. Participants then completed the fear of pain and health anxiety measures. Both fear of pain and health anxiety were positively associated with empathy for pain, but in the regression model only fear of pain was a significant positive predictor of empathy for pain (p< .001). Further analysis revealed that when controlling for the effects of fear of pain, the correlation between health anxiety and empathy became non-significant. The same results were found when the overall empathy for pain score was split into empathy for male and female images. Observers' sex and age were not significant predictors of empathy for pain.


Orthopaedic Proceedings
Vol. 97-B, Issue SUPP_2 | Pages 34 - 34
1 Feb 2015
Clark-Smith M
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Purposes of Study and Background

This study investigates the role of the patient and the therapeutic relationship with their medical practitioner in resolving CLBP (chronic low back pain). Many cases of chronic pain persist due to the stress response. The body is equipped with natural self-healing mechanisms that must be activated by the patient. This needs facilitation by someone trained to engage the patient in this process. Evidence shows that conventional medication; surgery and physical rehabilitation do not always resolve chronic pain. To ensure that the stress response doesn't sabotage biomedical intervention the patient may need to address any problems obstructing a healthy lifestyle. This means supporting healthy relationships, and good health in other areas such as: professional life, financial matters, beliefs and creativity.

Summary of Methods used and Results

Recent Case Studies are described where patients presented with severe CLBP. The Roland Morris Low Back Pain Disability Questionnaire was used to measure outcomes. Treatment included education about the ANS (autonomic nervous system); an active health plan in which the patient takes responsibility for their own healing; and movement guidelines to support the parasympathetic NS. The results show a significant pain reduction and increase in mobility.