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Updated: Jul 11, 2026

Psychophysiological Stress Assessment Using Biofeedback
Published on: July 31, 2009
A bio-psycho-socio-molecular approach to pain and stress management
Tobias Esch1, George B Stefano
1Division of Integrative Health Promotion, Coburg University of Applied Sciences, Hochschule Coburg, Friedrich-Streib-Strasse 2, 96450 Coburg, Germany. esch@hs-coburg.de
Abstract:
Stress and trauma are interconnected with the experience of pain. This connection is due to a physiological coupling of underlying molecular autoregulatory mechanisms, as well as phenomenological similarities. Nonpharmaceutical therapeutic approaches such as the relaxation response, a process that supports physiological stress reduction and decreases the negative mental and physical effects of stress, also facilitate pain relief, again demonstrating physiological commonalities. These behavioral approaches have a critical impact on molecular patterns of autoregulation, leading to the assumption of a bio-psycho-socio-molecular model of autoregulation, including stress and pain. Thus, molecules and behavior may be seen as two sides of the same problem in pain and stress relief.
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