The impact of the COVID-19 pandemic on pain and psychological functioning in young adults with chronic pain.
The impact of the COVID-19 pandemic on pain and psychological functioning in young adults with chronic pain.
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DOI：
10.1097/j.pain.0000000000002618
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发表时间：
2022-10-01
期刊：
影响因子：
7.4
通讯作者：
中科院分区：
文献类型：
--
作者：
COVID-19大流行对慢性疼痛患者的疼痛和健康的影响数据不明确。此外，关于其对患有慢性疼痛的年轻人健康的影响知之甚少。我们进行了一项纵向研究，比较了196名患有慢性疼痛的年轻人在大流行之前和期间的疼痛，心理功能和物质使用。年龄在18至24岁（男性5 21.1岁; 79.6%为女性）的参与者报告了大流行之前（2018年10月至2019年8月）和大流行期间（2020年10月至2020年11月）的疼痛，焦虑，抑郁和物质使用情况，以及对COVID-19暴露及其影响的评估。在大流行之前，年轻人经历了轻度至中度疼痛强度（M 5 3.75，SD 5 2.33）和疼痛干扰（M 5 3.44，SD 5 2.69）。研究结果表明，疼痛强度、疼痛干扰和抑郁症状在大流行期间保持稳定。焦虑症状则明显增加（M58.21，SD55.84vsM58.89，SD55.95，P50.04）.烟草、酒精和大麻的使用没有变化。混合线性模型显示，COVID-19暴露和影响与疼痛强度或干扰的变化无关，女性与疼痛强度增加（B 5 0.86，P 5 0.02）和疼痛干扰（B 5 0.87，P 5 0.02）相关。我们的研究结果表明，相对稳定的疼痛症状所经历的年轻人与慢性疼痛。然而，焦虑的增加突出表明，需要促进精神卫生服务的治疗，以减轻下游影响。
Data are equivocal on the consequences of COVID-19 pandemic on pain and well-being for individuals with chronic pain. Furthermore, little is known regarding its impact on the health of young adults with chronic pain. We conducted a longitudinal study to compare pain, psychological functioning, and substance use before and during the pandemic of 196 young adults with chronic pain. Participants aged 18 to 24 years (M 5 21.1 years; 79.6% females) reported on pain, anxiety, depression, and substance use before (October 2018–August 2019) and during the pandemic (October 2020–November 2020), in addition to the assessment of COVID-19 exposure and its impact. Before the pandemic, young adults experienced mild-to-moderate pain intensity (M 5 3.75, SD 5 2.33) and pain interference (M 5 3.44, SD 5 2.69). Findings were that pain intensity, pain interference, and depression symptoms remained stable during the pandemic. In contrast, anxiety symptoms increased significantly (M 5 8.21, SD 5 5.84 vs M 5 8.89, SD 5 5.95, P 5 0.04). Tobacco, alcohol, and cannabis use were unchanged. Mixed linear models revealed that COVID-19 exposure and impact were not associated with changes in pain intensity or interference, with female sex associated with increased pain intensity (b 5 0.86, P 5 0.02) and pain interference (b 5 0.87, P 5 0.02). Our findings indicated relative stability of pain symptoms experienced by young adults with chronic pain. However, the increases in anxiety highlight the need to facilitate treatment access for mental health services to mitigate downstream impact.
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影响因子：
11.3
作者：
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通讯作者：
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通讯作者：
de Tommaso M
影响因子：
4.8
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通讯作者：
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