Phys Ther December 2014 PMID 25035267

Chronic stress, cortisol dysfunction, and pain: a psychoneuroendocrine rationale for stress management in pain rehabilitation.

Kara E Hannibal, Mark D Bishop

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Mentions

126

Peak: 14 in Jun 2020

across 5 sources since Sep 2019

Extended reach

92,335

potential audience

Total likes

132

Video views

1,134

Mentions per month

Sep 2019 – Aug 2025

Where it's discussed

News72 articles
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AI synopsis

What people are saying

Participants generally agree that the article sheds light on the connection between chronic stress and pain, as seen in references to cortisol dysfunction and inflammatory disorders, while mentioning testing methods like the Dutch Test shows a deeper engagement. The tone remains analytical and scientific, emphasizing the relevance of stress management in pain rehabilitation.

AgreementModerate agreement

Most discussions acknowledge the article’s relevance, emphasizing cortisol's role in pain management, indicating moderate agreement with its findings.

InterestModerate interest

Posts show a moderate interest, with some mentioning the scientific aspects and practical implications, but not expressing strong enthusiasm.

EngagementModerate engagement

Replies include references to methods like the Dutch Test and discussions on cortisol's effects, suggesting a moderate level of engagement.

ImpactModerate impact

Given the focus on stress management and hormonal testing, the discussions highlight potential impacts on pain treatment strategies, though not overwhelmingly.

Abstract in brief

Chronic stress and cortisol dysfunction are closely linked to the experience and management of pain, but stress is often overlooked in pain rehabilitation strategies.
The body's stress response, involving hormones like adrenaline and cortisol, can be adaptive short-term but may become harmful if prolonged or exaggerated, leading to increased inflammation and chronic pain.
Managing psychological responses to stress, such as avoiding catastrophizing and practicing cognitive reappraisal, can help regulate cortisol levels and improve pain outcomes in rehabilitation.]

Read the full abstract

All mentions

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Andrea D. Furlan MD PhD PM&R

@adfurlan · X

RT @ChristophBurch: Chronic Stress, Cortisol Dysfunction, and Pain: A Psychoneuroendocrine Rationale for Stress Management in Pain Rehabili…

Aug 11, 2025 · 17 shares · 6,652 followers View post →

BBA

@Benjamin156332 · X

Chronic Stress, Cortisol Dysfunction, and Pain: A Psychoneuroendocrine Rationale for Stress Management in Pain Rehabilitation ... https://t.co/7eEiOSCrXz

Oct 9, 2024 · 2 followers View post →

Magnesium guy. Scott Henrie

@10mm_404 · X

"Chronic stress, cortisol dysfunction, and pain: a psychoneuroendocrine rationale for stress management in pain rehabilitation" https://t.co/F5sXFc2BMP. https://t.co/BZfifBKu4R (link for the article in this screenshot) https://t.co/L5aquSDUM8

Oct 8, 2024 · 1,781 followers View post →

Magnesium guy. Scott Henrie

@10mm_404 · X

https://t.co/F5sXFc23Xh "Chronic stress, cortisol dysfunction, and pain: a psychoneuroendocrine rationale for stress management in pain rehabilitation" https://t.co/lH8nE9bXHN

Oct 1, 2024 · 1,781 followers View post →

Cindy Vien

@CindyVien · X

Chronic Stress, Cortisol Dysfunction, and Pain: A Psychoneuroendocrine Rationale for Stress Management in Pain Rehabilitation ... https://t.co/Lditc2gA7S

Oct 24, 2023 · 819 followers View post →

Bongani Mayosi Health Sciences Library (BMHSL)

@uct_bmhsl · X

RT @Retlouping: Chronic Stress, Cortisol Dysfunction, and Pain: A Psychoneuroendocrine Rationale for Stress Management in Pain Rehabilitati…

Aug 24, 2023 · 14 shares · 1,592 followers View post →

ACPSEMdance

@ACPSEMdance · X

RT @Retlouping: Chronic Stress, Cortisol Dysfunction, and Pain: A Psychoneuroendocrine Rationale for Stress Management in Pain Rehabilitati…

Aug 24, 2023 · 14 shares · 2,970 followers View post →

Ramón Grandales Fuentes

@grandales_ramon · X

RT @Retlouping: Chronic Stress, Cortisol Dysfunction, and Pain: A Psychoneuroendocrine Rationale for Stress Management in Pain Rehabilitati…

Aug 24, 2023 · 14 shares · 328 followers View post →

Ft.Cristian

@FtCristian2 · X

RT @Retlouping: Chronic Stress, Cortisol Dysfunction, and Pain: A Psychoneuroendocrine Rationale for Stress Management in Pain Rehabilitati…

Aug 23, 2023 · 14 shares · 104 followers View post →

Madhan Ramanathan

@sportsphysiouk · X

RT @Retlouping: Chronic Stress, Cortisol Dysfunction, and Pain: A Psychoneuroendocrine Rationale for Stress Management in Pain Rehabilitati…

Aug 23, 2023 · 14 shares · 1,149 followers View post →

Vinicius Botelho de Souza

@Vinibotelhopain · X

RT @Retlouping: Chronic Stress, Cortisol Dysfunction, and Pain: A Psychoneuroendocrine Rationale for Stress Management in Pain Rehabilitati…

Aug 23, 2023 · 14 shares · 10 followers View post →

ɹǝʇlnoԀ pıʌɐᗡ

@Retlouping · X

Chronic Stress, Cortisol Dysfunction, and Pain: A Psychoneuroendocrine Rationale for Stress Management in Pain Rehabilitation https://t.co/p5RiHAdcjL https://t.co/wCOL2wMhmB

Aug 23, 2023 · 37 likes · 14 shares · 26,370 followers View post →

Michael John

@iammichaelpole · X

https://t.co/sbuMBz3H75 Dutch Test is the best way to test your levels as they vary cyclically through the day, so saliva and blood samples won't give you an accurate picture: https://t.co/W3o5sLjQAN

Mar 24, 2023 · 493 followers View post →

les_thar_gy

@les_thar_gy · X

A very scientific and geeky article on how chronic stress really can harm your body. “Chronic Stress, Cortisol Dysfunction, and Pain: A Psychoneuroendocrine Rationale for Stress Management in Pain Rehabilitation” https://t.co/fH2DWEcyeg

Dec 14, 2022 · 452 followers View post →

Dra. Teraiza Mesa R Cuenta Oficial ®

@Dra_TeraizaMesa · X

Chronic Stress, Cortisol Dysfunction, and Pain: A Psychoneuroendocrine Rationale for Stress Management in Pain Rehabilitation https://t.co/Sz2XvITUm8

Oct 15, 2022 · 4 likes · 9,030 followers View post →

Dr. Patrick Rebadow, DC

@DcRebadow · X

Cortisol dysfunction (aka chronic stress) disrupts hormones & is linked to pain somatization & inflammatory disorders like auto-immunity, fibromyalgia, chronic fatigue, chronic pain and many more. Consider stress when trying to eliminate chronic pain. https://t.co/e74RxSjiag

Sep 18, 2022 · 41 followers View post →

Dr. Sebastian Arrieta

@doctorarrietam · X

Esta práctica genera una disminución en el dolor al disminuir la REACCIÓN al mismo. De esa manera impacta en los niveles de cortisol que se comportan como combustible para tu inflamación. https://t.co/5i20CLJdXt

May 8, 2021 · 981 followers View post →

ACPSEMdance

@ACPSEMdance · X

RT @ChristophBurch: Chronic Stress, Cortisol Dysfunction, and Pain: A Psychoneuroendocrine Rationale for Stress Management in Pain Rehabili…

Jul 1, 2020 · 17 shares · 2,970 followers View post →

Mosiah Araújo Silva

@MosiahAraujo · X

RT @ChristophBurch: Chronic Stress, Cortisol Dysfunction, and Pain: A Psychoneuroendocrine Rationale for Stress Management in Pain Rehabili…

Jun 2, 2020 · 17 shares · 69 followers View post →

Vito Vinci

@vitovnc · X

RT @ChristophBurch: Chronic Stress, Cortisol Dysfunction, and Pain: A Psychoneuroendocrine Rationale for Stress Management in Pain Rehabili…

Jun 2, 2020 · 17 shares · 164 followers View post →

Clusters of Biolearning

@CoBiolearning · X

RT @ChristophBurch: Chronic Stress, Cortisol Dysfunction, and Pain: A Psychoneuroendocrine Rationale for Stress Management in Pain Rehabili…

Jun 2, 2020 · 17 shares · 81 followers View post →

Ander Zulet

@AnderZulet · X

RT @ChristophBurch: Chronic Stress, Cortisol Dysfunction, and Pain: A Psychoneuroendocrine Rationale for Stress Management in Pain Rehabili…

Jun 2, 2020 · 17 shares · 1,179 followers View post →

Juan Montaño

@juamonoca · X

RT @ChristophBurch: Chronic Stress, Cortisol Dysfunction, and Pain: A Psychoneuroendocrine Rationale for Stress Management in Pain Rehabili…

Jun 2, 2020 · 17 shares · 869 followers View post →

Javi Guerra

@Javi_Guerra_Ar · X

RT @ChristophBurch: Chronic Stress, Cortisol Dysfunction, and Pain: A Psychoneuroendocrine Rationale for Stress Management in Pain Rehabili…

Jun 1, 2020 · 17 shares · 2,099 followers View post →

Ángel Ramón

@antequeraphysio · X

RT @ChristophBurch: Chronic Stress, Cortisol Dysfunction, and Pain: A Psychoneuroendocrine Rationale for Stress Management in Pain Rehabili…

Jun 1, 2020 · 17 shares · 383 followers View post →

Vincent Girod

@KineMeuh · X

RT @ChristophBurch: Chronic Stress, Cortisol Dysfunction, and Pain: A Psychoneuroendocrine Rationale for Stress Management in Pain Rehabili…

Jun 1, 2020 · 17 shares · 3,675 followers View post →

Jordi Aridane

@JordiAridane · X

RT @ChristophBurch: Chronic Stress, Cortisol Dysfunction, and Pain: A Psychoneuroendocrine Rationale for Stress Management in Pain Rehabili…

Jun 1, 2020 · 17 shares · 488 followers View post →

EskeleThor

@EskeleThor · X

RT @ChristophBurch: Chronic Stress, Cortisol Dysfunction, and Pain: A Psychoneuroendocrine Rationale for Stress Management in Pain Rehabili…

Jun 1, 2020 · 17 shares · 404 followers View post →

ACPSEMdance

@ACPSEMdance · X

RT @ChristophBurch: Chronic Stress, Cortisol Dysfunction, and Pain: A Psychoneuroendocrine Rationale for Stress Management in Pain Rehabili…

Jun 1, 2020 · 17 shares · 2,970 followers View post →

Ruben

@Ruben4Mans · X

RT @ChristophBurch: Chronic Stress, Cortisol Dysfunction, and Pain: A Psychoneuroendocrine Rationale for Stress Management in Pain Rehabili…

Jun 1, 2020 · 17 shares · 192 followers View post →

mk-fé

@BhengHeng · X

RT @ChristophBurch: Chronic Stress, Cortisol Dysfunction, and Pain: A Psychoneuroendocrine Rationale for Stress Management in Pain Rehabili…

Jun 1, 2020 · 17 shares · 1,334 followers View post →

Christoph Burch

@ChristophBurch · X

Jun 1, 2020 · 48 likes · 17 shares · 15,537 followers View post →

RealizedCare

@RealizedCare · X

"Chronic #Stress, Cortisol Dysfunction, and #Pain: A Psychoneuroendocrine Rationale for Stress Management in Pain Rehabilitation https://t.co/8JdQmolDaU;" @karahannibal et al. https://t.co/ACYZb5KXiB

Feb 17, 2020 · 1,351 followers View post →

RealizedCare

@RealizedCare · X

"Chronic Stress, Cortisol Dysfunction, and Pain: A Psychoneuroendocrine Rationale for Stress Management in Pain Rehabilitation https://t.co/8JdQmolDaU;" @karahannibal et al.

Dec 20, 2019 · 1,351 followers View post →

Homagi

@HomagiOne · X

#WellCaregiverWednesday _________ Chronic Stress, Cortisol Dysfunction, and Pain: A Psychoneuroendocrine Rationale for Stress Management in Pain Rehabilitation Kara E. Hannibal, Mark D.… https://t.co/I91QdsaeYt

Sep 18, 2019 · 790 followers View post →

Chronic stress, cortisol dysfunction, and pain: a psychoneuroendocrine rationale for stress management in pain rehabilitation.

Mentions per month

Where it's discussed

What people are saying

Abstract in brief

Top posts

All mentions

Managing Stress and Cortisol to Reduce Pain and Improve Well-being

Impact of Chronic Stress on Cellular Aging and Strategies to Mitigate It