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Somatic Dysfunction and Behavior Correlates in Medical Students

Journal: The AAO Journal Date: 2024/06, 34(2):Pages: 7. doi: Subito , type of study: mixed methods study

Full text    (https://meridian.allenpress.com/aaoj/article/34/2/7/500955/LBORC-NUFA-Poster-Abstracts-2024-Clinician-amp)

Keywords:

anxiety [56]
depression [66]
medical students [647]
mixed method study [100]
osteopathic medicine [2025]
sleep [67]
somatic dysfunction [159]
stress [110]
USA [1656]

Abstract:

Introduction: Previous work suggests that Somatic Dysfunction (SD) may be related to sleepiness, depression, and fatigue.1,2 Our study builds on this work by determining if the profile and amount of SD is associated with sleep disturbances, fatigue, depression, anxiety, and/or pain. Methods: 115 medical students at the Rocky Vista University College of Osteopathic Medicine–Colorado campus completed a survey that included the Pittsburg Sleep Quality Index (PSQI); Depression, Anxiety and Stress Scale-21 (DASS-21); Fatigue Severity Scale (FSS); and Chronic Pain Scale. Following survey completion, SD was quantified by two Osteopathic physicians using a novel scoring technique across the following regions: Cervical, Thoracic, Lumbar, Sacral, Pelvis, Ribs, and Upper and Lower Extremities. SD was assessed by screening areas of greatest restriction (AGR). AGR was scored for each region using a 0 to 3 scale according to how many TART (tissue texture abnormality, asymmetry, restriction of motion, or tenderness) criteria were present. Tenderness was not included in scoring. A score of 0 indicated the absence of TART, and 3 reflected all TART criteria present. Results: SD summed across all regions correlated with DASS-21 measures of Stress, Anxiety, Depression, and overall DASS-21 totals. Thoracic and Pelvis SD correlated measures of Anxiety, Depression, and DASS-21 totals. Lumbar SD correlated with Sleep impairment, Stress, Anxiety, and DASS-21 totals. Rib SD correlated with Depression and DASS-21 totals. Interestingly, Fatigue correlated with PSQI scores, DASS-21 scores, and Chronic Pain. Correlations were significant at p<0.5. Conclusion: SD was associated with a number of behavioral sequelae, most consistently depression, anxiety, and stress on the DASS-21. These correlations occurred most often in the thoracic, lumbar, sacral, and pelvic regions.


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