Effects of State Trait Anxiety on Thorax, Diaphragm and Related Fascia.
1 other identifier
observational
200
1 country
1
Brief Summary
Previous studies have accepted a strong correlation between anxiety and dysregulation in respiratory rate. The investigators would like to explore this correlation from an osteopathic perspective. The investigators seek to assess the muscles, bones, ligaments, and fascia related to the respiratory system, mainly the thoracic diaphragm. The study does not focus on clinically diagnosed General Anxiety Disorder but rather State-Trait Anxiety among medical student participants. State Anxiety is the temporary anxiety one feels in certain situations, and Trait Anxiety is the stable tendency to become anxious. The investigators aim to assess somatic dysfunctions in medical students' respiratory systems and correlate those findings with their respective scores on the State-Trait Inventory for Cognitive and Somatic Anxiety (STICSA) survey. The investigators will assess the patient's somatic dysfunction using an osteopathic structural exam, and the STICSA will quantify the patient's level of statetrait anxiety. This inquiry will further explore osteopathic medicine's perspective on addressing the patient as a whole by correlating the close relationship between one's mental state and the resultant physical dysfunctions within different areas of the body. Establishing this correlation can pave the way for a new perspective on treating mental health disorders that is both cost-effective and potentially more efficacious than the traditional method, which has a high relapse rate. Exploring the connection between somatic dysfunctions and state-trait anxiety will benefit the patient's overall well-being and add a new level of care that osteopathic physicians can provide to others.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for all trials
Started Feb 2023
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
Study Start
First participant enrolled
February 1, 2023
CompletedFirst Submitted
Initial submission to the registry
August 23, 2023
CompletedFirst Posted
Study publicly available on registry
September 11, 2023
CompletedPrimary Completion
Last participant's last visit for primary outcome
October 1, 2024
CompletedStudy Completion
Last participant's last visit for all outcomes
February 1, 2025
CompletedApril 3, 2025
March 1, 2025
1.7 years
August 23, 2023
March 31, 2025
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Numerical scores collected from the STICSA survey
Numerical scores collected from the STICSA survey
Through study completion, an average of 1 year.
Secondary Outcomes (1)
Quantity and Quality of Somatic Dysfunctions as examined by Osteopathic Structural Exam
Through study completion, an average of 1 year.
Interventions
During a single patient encounter they will fill out the State-Trait Anxiety Questionnaire , and undergo a Osteopathic Structural Exam
Eligibility Criteria
Touro College of Osteopathic Medicine Students, male and female, aged from 18-45.
You may qualify if:
- Touro College of Osteopathic Medicine Students of Harlem, Middletown, and Montana campus.
- Students from OMS-I to OMS-IV.
- Participants aged 18 - 45.
You may not qualify if:
- Previous history of generalized anxiety, depression, mania or hypomania, as defined by the DSM-IV, or a history of a bipolar mood disorder, personality disorder, or psychotic disorder.
- Presence of a cognitive disorder or dementia within 6 months before the baseline visit.
- Investigator believed there was a significant risk of suicide.
- Currently pregnant, lactating, o intending to become pregnant before, during, or within 30 days after participating in the study.
- Changes in medication use or psychotherapy during study period
- Presence of any other significant organic disease or serious illness (eg, cardiac, endocrine, gastrointestinal, infectious, liver or renal insufficiency, metabolic disturbance, neoplastic, neurologic, pulmonary, or vascular).
- Presence of any history of respiratory disorders including but not limited to asthma, COPD, emphysema
- History of abdominal or thoracic trauma or surgery within the past 10 years.
- Medication: Sympathomimetics, respiratory depressants
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Touro College of Osteopathic Medicine
New York, New York, 10027, United States
Related Publications (18)
Church JA. Climate change. How fast are sea levels rising? Science. 2001 Oct 26;294(5543):802-3. doi: 10.1126/science.1065714.
PMID: 11679657BACKGROUNDAteweberhan M, McClanahan TR. Relationship between historical sea-surface temperature variability and climate change-induced coral mortality in the western Indian Ocean. Mar Pollut Bull. 2010 Jul;60(7):964-70. doi: 10.1016/j.marpolbul.2010.03.033. Epub 2010 May 5.
PMID: 20447661BACKGROUNDBath M, Owens J. Physiology, Viscerosomatic Reflexes. 2023 May 1. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan-. Available from http://www.ncbi.nlm.nih.gov/books/NBK559218/
PMID: 32644644BACKGROUNDLookadoo RE, Bell JE. Public Health Policy Actions to Address Health Issues Associated with Drought in a Changing Climate. J Law Med Ethics. 2020 Dec;48(4):653-663. doi: 10.1177/1073110520979372.
PMID: 33404338BACKGROUNDWalker ER, McGee RE, Druss BG. Mortality in mental disorders and global disease burden implications: a systematic review and meta-analysis. JAMA Psychiatry. 2015 Apr;72(4):334-41. doi: 10.1001/jamapsychiatry.2014.2502.
PMID: 25671328BACKGROUNDHoying J, Melnyk BM, Hutson E, Tan A. Prevalence and Correlates of Depression, Anxiety, Stress, Healthy Beliefs, and Lifestyle Behaviors in First-Year Graduate Health Sciences Students. Worldviews Evid Based Nurs. 2020 Feb;17(1):49-59. doi: 10.1111/wvn.12415. Epub 2020 Jan 8.
PMID: 31912989BACKGROUNDMazurek Melnyk B, Slevin C, Militello L, Hoying J, Teall A, McGovern C. Physical health, lifestyle beliefs and behaviors, and mental health of entering graduate health professional students: Evidence to support screening and early intervention. J Am Assoc Nurse Pract. 2016 Apr;28(4):204-11. doi: 10.1002/2327-6924.12350. Epub 2016 Mar 16.
PMID: 26990269BACKGROUNDEndler NS, Kocovski NL. State and trait anxiety revisited. J Anxiety Disord. 2001 May-Jun;15(3):231-45. doi: 10.1016/s0887-6185(01)00060-3.
PMID: 11442141BACKGROUNDSpielberger, C. D. (1985a). "Anxiety, cognition and affect: a state-trait perspective," in Anxiety and the Anxiety Disorders, eds A. H. Tuma, and J. D. Maser (Hillsdale, NJ: Lawrence Erlbaum Associates, Inc), 171-182
BACKGROUNDDixon L, Fotinos K, Sherifi E, Lokuge S, Fine A, Furtado M, Anand L, Liberatore K, Katzman MA. Effect of Osteopathic Manipulative Therapy on Generalized Anxiety Disorder. J Am Osteopath Assoc. 2020 Mar 1;120(3):133-143. doi: 10.7556/jaoa.2020.026.
PMID: 32091557BACKGROUNDKatzman MA, Bleau P, Blier P, Chokka P, Kjernisted K, Van Ameringen M; Canadian Anxiety Guidelines Initiative Group on behalf of the Anxiety Disorders Association of Canada/Association Canadienne des troubles anxieux and McGill University; Antony MM, Bouchard S, Brunet A, Flament M, Grigoriadis S, Mendlowitz S, O'Connor K, Rabheru K, Richter PM, Robichaud M, Walker JR. Canadian clinical practice guidelines for the management of anxiety, posttraumatic stress and obsessive-compulsive disorders. BMC Psychiatry. 2014;14 Suppl 1(Suppl 1):S1. doi: 10.1186/1471-244X-14-S1-S1. Epub 2014 Jul 2.
PMID: 25081580BACKGROUNDRavindran AV, da Silva TL. Complementary and alternative therapies as add-on to pharmacotherapy for mood and anxiety disorders: a systematic review. J Affect Disord. 2013 Sep 25;150(3):707-19. doi: 10.1016/j.jad.2013.05.042. Epub 2013 Jun 12.
PMID: 23769610BACKGROUNDRitz T, Meuret AE, Bhaskara L, Petersen S. Respiratory muscle tension as symptom generator in individuals with high anxiety sensitivity. Psychosom Med. 2013 Feb;75(2):187-95. doi: 10.1097/PSY.0b013e31827d1072. Epub 2013 Jan 16.
PMID: 23324873BACKGROUNDWan HY, Stickford JL, Kitano K, Manz WJ, Koceja DM, Chapman RF, Stager JM. Acute hypercapnia does not alter voluntary drive to the diaphragm in healthy humans. Respir Physiol Neurobiol. 2018 Dec;258:60-68. doi: 10.1016/j.resp.2018.05.012. Epub 2018 May 30.
PMID: 29859322BACKGROUNDBailey JE, Argyropoulos SV, Kendrick AH, Nash J, Jightman S, Nutt DJ. Inhalation of 35% CO2 results in subjective fear and activates the HPA axis in healthy volunteers. J Psychopharmacol. 2001;15:A22.
BACKGROUNDFreire RC, Nardi AE. Panic disorder and the respiratory system: clinical subtype and challenge tests. Braz J Psychiatry. 2012 Jun;34 Suppl 1:S32-41. doi: 10.1590/s1516-44462012000500004. English, Portuguese.
PMID: 22729448BACKGROUNDGilbert, C. (1998). Hyperventilation and the body. Journal of Bodywork and Movement Therapies, 2(3), 184-191
BACKGROUNDTindall IK, Curtis GJ, Locke V. Dimensionality and Measurement Invariance of the State-Trait Inventory for Cognitive and Somatic Anxiety (STICSA) and Validity Comparison With Measures of Negative Emotionality. Front Psychol. 2021 Jun 7;12:644889. doi: 10.3389/fpsyg.2021.644889. eCollection 2021.
PMID: 34163400BACKGROUND
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Design
- Study Type
- observational
- Observational Model
- OTHER
- Time Perspective
- CROSS SECTIONAL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Principal Investigator, Associate Professor
Study Record Dates
First Submitted
August 23, 2023
First Posted
September 11, 2023
Study Start
February 1, 2023
Primary Completion
October 1, 2024
Study Completion
February 1, 2025
Last Updated
April 3, 2025
Record last verified: 2025-03
Data Sharing
- IPD Sharing
- Will not share