E = Emotions

  1. Fear of increased pain from activity or work.
  2. Depression (especially long term low mood), loss of sense of enjoyment.
  3. Increased irritability.
  4. Anxiety and heightened awareness of body sensations (includes sympathetic nervous system arousal).
  5. Feeling under stress and unable to maintain sense of control.
  6. Presence of social anxiety or disinterest in social activity.
  7. Feeling useless and not needed.