Longitudinal study of early adaptation to the coronavirus disease pandemic among youth with chronic pain and their parents: effects of direct exposures and economic stress.
Longitudinal study of early adaptation to the coronavirus disease pandemic among youth with chronic pain and their parents: effects of direct exposures and economic stress.
复制标题
DOI：
10.1097/j.pain.0000000000002290
复制
发表时间：
2021-07-01
期刊：
影响因子：
7.4
通讯作者：
Palermo TM
中科院分区：
文献类型：
--
作者：
Law EF;Zhou C;Seung F;Perry F;Palermo TM
这种新型冠状病毒病(新冠肺炎)已造成许多社区日常生活的长期中断。关于新冠肺炎大流行对患有慢性疼痛的青年及其家人的健康和福祉的影响，人们知之甚少。我们进行了一项纵向、混合方法的研究，以确定250个被诊断患有慢性头痛(%)或其他慢性疼痛状况(36%)的青年家庭(年龄12-21岁)对新冠肺炎大流行的早期适应特征，并确定直接暴露于新冠肺炎和次级经济压力是否会改变症状轨迹。青年和父母在2020年4月至2020年7月的4波数据收集中报告了疼痛干扰、焦虑、抑郁和失眠症状。我们还收集了有关大流行对青少年疼痛问题影响的定性数据。我们样本中近一半(49.6%)的人有过直接接触新冠肺炎的经历。次级经济压力也很常见，44.4%的家庭受到影响。对于大多数参与者来说，疼痛、失眠、抑郁和焦虑的症状轨迹保持稳定或改善，表明适应适应。然而，总体症状负担很高，持续的和临床上升高的抑郁、焦虑和失眠症状在年轻人和父母中很常见。直接接触新冠肺炎并没有改变症状轨迹。然而，在经历了二次经济压力的家庭中，青少年疼痛干扰和父母失眠恶化。定性数据揭示了关闭学校对青少年疼痛问题的好处和坏处。我们对高症状负担的研究结果表明，儿科疼痛临床医生应该提供远程评估和治疗(例如，通过远程医疗)，以避免与大流行相关的疼痛护理中断。
The novel coronavirus disease (COVID-19) has caused prolonged disruptions in daily life for many communities. Little is known about the impact of the COVID-19 pandemic on the health and well-being of youth with chronic pain and their families. We conducted a longitudinal, mixed-methods study to characterize early adaptation to the COVID-19 pandemic among 250 families of youth (ages 12-21 years) diagnosed with chronic headache (64%) or other chronic pain conditions (36%) and to determine whether direct exposures to COVID-19 and secondary economic stress modified symptom trajectories. Youth and parents reported on pain interference, anxiety, depression, and insomnia symptoms at 4 waves of data collection from April 2020 to July 2020. We also collected qualitative data on the impact of the pandemic on the youth’s pain problem. Nearly half of our sample (49.6%) experienced direct exposures to COVID-19. Secondary economic stress was also common, affecting 44.4% of families. Symptom trajectories for pain, insomnia, depression, and anxiety remained stable or improved for most participants, indicating adaptive adjustment. However, overall symptom burden was high with persistent and clinically elevated depression, anxiety, and insomnia symptoms common among youth and parents. Direct exposures to COVID-19 did not modify symptom trajectories. However, youth pain interference and parent insomnia worsened in families who experienced secondary economic stress. Qualitative data revealed perceived benefits and harms from school closures on the youth’s pain problem. Our findings of high symptom burden suggest that pediatric pain clinicians should offer distance assessment and treatment (eg, through telemedicine) to avoid pandemic-related disruptions in pain care.
登录
查看更多内容
与 COVID-19 大流行相关的限制对疼痛性多发性神经病患者的疼痛、情绪和日常生活的早期影响。
影响因子：
4.8
作者：
Kersebaum D;Fabig SC;Sendel M;Sachau J;Lassen J;Rehm S;Hüllemann P;Baron R;Gierthmühlen J
通讯作者：
Gierthmühlen J
DOI：
10.1177/1049909109346165
发表时间：
2009-10
期刊：
The American journal of hospice & palliative care
影响因子：
--
作者：
Engel JM;Kartin D;Carter GT;Jensen MP;Jaffe KM
通讯作者：
Jaffe KM
影响因子：
4
作者：
Chow, Erika T.;Otis, John D.;Simons, Laura E.
通讯作者：
Simons, Laura E.
影响因子：
4.8
作者：
Bastien, Celyne H.;Vallieres, Annie;Morin, Charles M.
通讯作者：
Morin, Charles M.
影响因子：
33.9
作者：
Moreland, Amanda;Herlihy, Christine;Baldwin, Grant
通讯作者：
Baldwin, Grant