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Review  |   May 2003
Evaluating the impact of stress on systemic disease: the MOST protocol in primary care
Article Information
Cardiovascular Disorders / Gastroenterology / Neuromusculoskeletal Disorders / Pain Management/Palliative Care / Arthritis / Headache
Review   |   May 2003
Evaluating the impact of stress on systemic disease: the MOST protocol in primary care
The Journal of the American Osteopathic Association, May 2003, Vol. 103, 239-246. doi:https://doi.org/10.7556/jaoa.2003.103.5.239
The Journal of the American Osteopathic Association, May 2003, Vol. 103, 239-246. doi:https://doi.org/10.7556/jaoa.2003.103.5.239
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Abstract

Mental stress has an enormous impact on physical health. This impact commonly manifests as headache, muscle tension, acne, peptic ulcer disease, or a compromised immune system. Stress is also associated with more serious adverse effects, such as cardiovascular disease and exacerbations of rheumatoid arthritis and systemic lupus erythematosus. As these effects are far-reaching, it is important for primary care physicians to identify and manage the symptoms of mental stress in their patients. This is increasingly possible with office-based mental stress testing, which uses cardiovascular markers to identify patients who are overresponders to mental stress, and, thus, at risk for stress-induced disorders. Mental stress in this population can be managed with nonpharmacologic and pharmacologic interventions to improve patients' responses to stress and decrease morbidity and mortality associated with this condition.