The impact of COVID-19 on patients with chronic pain seeking care at a tertiary pain clinic.
The impact of COVID-19 on patients with chronic pain seeking care at a tertiary pain clinic.
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DOI：
10.1038/s41598-022-10431-5
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发表时间：
2022-04-19
影响因子：
4.6
通讯作者：
Mackey, Sean C.
中科院分区：
文献类型：
--
作者：
Ziadni, Maisa S.;You, Dokyoung S.;Cramer, Eric M.;Anderson, Steven R.;Hettie, Gabrielle;Darnall, Beth D.;Mackey, Sean C.
关于 COVID-19 大流行对健康影响的经验数据仍然很少，特别是对于患有慢性疼痛的患者。我们进行了一项按季节匹配的横断面研究，以检查 COVID-19 大流行爆发前后患有慢性疼痛的患者报告的健康症状。对 2017 年 4 月至 2020 年 10 月期间 7535 名患者在三级疼痛诊所初次就诊期间的调查反应进行了分析。调查包括疼痛以及与疼痛相关的身体、情绪和社会功能的测量。 COVID-19 发病后队列包括 1798 项初步评估，而 COVID-19 发病前对照队列包括 5737 项初步评估。患者大多数为女性、白人/白人和中年人。结果表明，大流行爆发后，患者的疼痛评级保持不变。然而，当 2020 年 7 月 COVID-19 病例达到顶峰时，疼痛灾难化评分有所升高。在 COVID-19 后队列中，疼痛干扰、身体功能、睡眠障碍和情感支持均得到改善。抑郁、焦虑、愤怒和社会孤立依然没有改变。我们的研究结果提供了证据，表明在面对 COVID-19 大流行时，寻求疼痛治疗的患者能够增强恢复能力。然而，我们的研究结果表明，当 2020 年 7 月 COVID-19 病例达到顶峰时，疼痛的灾难性加剧表明，未来有必要监测和考虑这一流行病对患者疼痛的影响。
Empirical data on the health impacts of the COVID-19 pandemic remain scarce, especially among patients with chronic pain. We conducted a cross-sectional study matched by season to examine patient-reported health symptoms among patients with chronic pain pre- and post-COVID-19 pandemic onset. Survey responses were analyzed from 7535 patients during their initial visit at a tertiary pain clinic between April 2017–October 2020. Surveys included measures of pain and pain-related physical, emotional, and social function. The post-COVID-19 onset cohort included 1798 initial evaluations, and the control pre-COVID-19 cohort included 5737 initial evaluations. Patients were majority female, White/Caucasian, and middle-aged. The results indicated that pain ratings remained unchanged among patients after the pandemic onset. However, pain catastrophizing scores were elevated when COVID-19 cases peaked in July 2020. Pain interference, physical function, sleep impairment, and emotional support were improved in the post-COVID-19 cohort. Depression, anxiety, anger, and social isolation remained unchanged. Our findings provide evidence of encouraging resilience among patients seeking treatment for pain conditions in the face of the COVID-19 pandemic. However, our findings that pain catastrophizing increased when COVID-19 cases peaked in July 2020 suggests that future monitoring and consideration of the impacts of the pandemic on patients’ pain is warranted.
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影响因子：
7.2
作者：
Askew RL;Cook KF;Revicki DA;Cella D;Amtmann D
通讯作者：
Amtmann D
影响因子：
7.2
作者：
Cook, Karon F.;Jensen, Sally E.;Cella, David
通讯作者：
Cella, David
影响因子：
9.9
作者：
Cook, Karon F.;Dunn, Winnie;Gershon, Richard C.
通讯作者：
Gershon, Richard C.
DOI：
10.1093/abm/kay017
发表时间：
2019-01-01
期刊：
Annals of behavioral medicine : a publication of the Society of Behavioral Medicine
影响因子：
--
作者：
Karayannis NV;Baumann I;Sturgeon JA;Melloh M;Mackey SC
通讯作者：
Mackey SC
影响因子：
4.8
作者：
Lacasse A;Pagé MG;Dassieu L;Sourial N;Janelle-Montcalm A;Dorais M;Nguena Nguefack HL;Godbout-Parent M;Hudspith M;Moor G;Sutton K;Thompson JM;Choinière M
通讯作者：
Choinière M