This can lead to significant psychological distress for some caregivers.
A threat to these needs produces psychological distress and pain.
At the same time, psychological distress can amplify the pain.
For example, one study evaluated the association between psychological distress and pain in 120 patients with advanced cancer.
They are also alert to signs of social and psychological distress.
Recent low back pain makes it five times more likely that a person will suffer serious psychological distress.
Of course a horse's physical needs have to be satisfied to avoid psychological distress too.
Syndrome X patients, though in great physical and psychological distress, are at no special risk of dying, he says.
Music did not appear to have much effect on patients' psychological distress.
The relief of psychological, social and spiritual distress is a key element in effective pain management.