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Hapidou E, Borg Debono V, Schwarz S, Anthonypillai J. A Qualitative Study of the Latter Effects of the COVID-19 Pandemic on Patients Living With Chronic Pain. J Patient Exp 2023; 10:23743735231199673. [PMID: 37720907 PMCID: PMC10501059 DOI: 10.1177/23743735231199673] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 09/19/2023] Open
Abstract
This qualitative study examined the effects of the COVID-19 pandemic on the lives of patients living with chronic pain (CP). Patients referred to an interdisciplinary pain management program between July and December of 2021 were asked to respond to the question: "How did the COVID-19 pandemic affect your life?" Fifty-four patients provided comments in response to this question. The comments were analyzed using an inductive approach. Ten themes emerged: (1) psychological state, (2) limitations on social life and activities, (3) minimal to no effect, (4) beliefs and opinions associated with COVID-19, (5) family dynamics, (6) healthcare disruptions, (7) pandemic-related fear, (8) changes in work, (9) change in pain, and (10) getting COVID-19. These themes mirror those found during the onset of the pandemic, with the addition of theme #4. Themes demonstrate the challenges experienced by individuals living with CP, in addition to new developments in the latter portion of the COVID-19 pandemic. It is important to understand the ramifications of shutdowns, so we are better able to address issues that occur in their aftermath.
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Affiliation(s)
- Eleni Hapidou
- Department of Psychiatry and Behavioral Neurosciences, McMaster University, Hamilton, Canada
| | - Victoria Borg Debono
- Department of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, Canada
| | - Saxon Schwarz
- Department of Psychology, Neuroscience and Behavior (PNB), McMaster University, Hamilton, Canada
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Ling MS, Wang CP, Hsieh YL, Lin YP, Lee PC, Hu S, Hung FM. Emotional disturbance and risk factors among COVID-19 confirmed cases in isolation hotels. Int J Ment Health Nurs 2023; 32:469-478. [PMID: 36097408 PMCID: PMC9538577 DOI: 10.1111/inm.13063] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 08/21/2022] [Indexed: 01/03/2023]
Abstract
Patients with coronavirus disease 2019 (COVID-19) has been isolated in hospital-managed isolation hotels under a policy of the Taiwan government. Centrally isolation patients are more likely to experience psychological symptoms. The purpose of the study was to investigate emotional disturbance during their isolation period and then pinpoint the factors during their isolation period associated with the emotional disturbance. We retrospectively analysed the medical charts of the patients confined to a Banqiao isolation hotel between May 28 and July 3, 2021. The 5-item brief symptom rating scale (BSRS-5) was used to evaluate emotional disturbance levels. Descriptive and logistic regression was used for the data analysis. In total, 197 complete medical records were reviewed, and of these 84 (42.6%) showed emotional disturbance. The majority of them reported only minor disturbance (n = 49, 58.3%). After controlling for confounding factors, being satisfied about medical information was the only protective factor associated with emotional disturbance (OR = 0.2, P = 0.018). Being a male patient (OR = 3.0, P = 0.005), worrying about stigmatization (OR = 2.2, P = 0.041) and being unable to contact family members (OR = 2.9, P = 0.018) increased the risk of experiencing emotional disturbance. Patients with clinical symptoms, namely sore throat (OR = 3.4, P = 0.013) and muscle aches (OR = 6.3, P = 0.005), were also found to be more likely to report emotional disturbance. Mental disturbance commonly occurs among patient with COVID-19 who are isolated in a hospital-managed hotel. Being a male patient, having symptoms, namely a sore throat and muscle pain, being unable to contact family and/or a failure to receive sufficient medical information were found to be associated with emotional disturbance. In order to help isolated patients, government officials should provide a clear rationale for isolation and recognize the patients' efforts to follow the government's policy, which will help to minimize social stigma.
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Affiliation(s)
- Mao-Sheng Ling
- Surgical Intensive Care Unit, Department of Critical Care Medicine, Far Eastern Memorial Hospital, Taipei, Taiwan
| | - Chao-Ping Wang
- Department of Nursing, Far Eastern Memorial Hospital, Taipei, Taiwan
| | - Yu-Ling Hsieh
- Resources Development & Management Center, Mennonite Christian Hospital, Hualien, Taiwan
| | - Yi-Ping Lin
- Department of Nursing, Far Eastern Memorial Hospital, Taipei, Taiwan
| | - Pi-Chung Lee
- Department of Nursing, Far Eastern Memorial Hospital, Taipei, Taiwan
| | - Sophia Hu
- Department of Nursing, College of Nursing, National Yang Ming Chiao Tung University, Taipei, Taiwan
| | - Fang-Ming Hung
- Surgical Intensive Care Unit, Department of Critical Care Medicine, Far Eastern Memorial Hospital, Taipei, Taiwan
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Gevers-Montoro C, Liew BXW, Deldar Z, Conesa-Buendia FM, Ortega-De Mues A, Falla D, Khatibi A. A network analysis on biopsychosocial factors and pain-related outcomes assessed during a COVID-19 lockdown. Sci Rep 2023; 13:4399. [PMID: 36928233 PMCID: PMC10019800 DOI: 10.1038/s41598-023-31054-4] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/02/2022] [Accepted: 03/06/2023] [Indexed: 03/18/2023] Open
Abstract
Psychological stress, social isolation, physical inactivity, and reduced access to care during lockdowns throughout a pandemic negatively impact pain and function. In the context of the first COVID-19 lockdown in Spain, we aimed to investigate how different biopsychosocial factors influence chiropractic patients' pain-related outcomes and vice-versa. A total of 648 chiropractic patients completed online questionnaires including variables from the following categories: demographics, pain outcomes, pain beliefs, impact of the COVID-19 pandemic, stress/anxiety and self-efficacy. Twenty-eight variables were considered in a cross-sectional network analysis to examine bidirectional associations between biopsychosocial factors and pain outcomes. Subgroup analyses were conducted to estimate differences according to gender and symptom duration. The greatest associations were observed between pain duration and pain evolution during lockdown. Participants' age, pain symptoms' evolution during lockdown, and generalized anxiety were the variables with the strongest influence over the whole network. Negative emotions evoked by the pandemic were indirectly associated with pain outcomes, possibly via pain catastrophizing. The network structure of patients reporting acute pain showed important differences when compared to patients with chronic pain. These findings will contribute to identify which factors explain the deleterious effects of both the pandemic and the restrictions on patients living with pain.
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Affiliation(s)
- Carlos Gevers-Montoro
- Madrid College of Chiropractic - RCU María Cristina, Paseo de los Alamillos 2, 28200, San Lorenzo de El Escorial, Madrid, Spain
| | - Bernard X W Liew
- School of Sport, Rehabilitation and Exercise Sciences, University of Essex, Colchester, Essex, UK
| | - Zoha Deldar
- Psychology Department, McGill University, Montréal, QC, Canada
| | | | - Arantxa Ortega-De Mues
- Madrid College of Chiropractic - RCU María Cristina, Paseo de los Alamillos 2, 28200, San Lorenzo de El Escorial, Madrid, Spain
| | - Deborah Falla
- Centre of Precision Rehabilitation for Spinal Pain, School of Sport, Exercise and Rehabilitation Sciences, University of Birmingham, Birmingham, UK
| | - Ali Khatibi
- Centre of Precision Rehabilitation for Spinal Pain, School of Sport, Exercise and Rehabilitation Sciences, University of Birmingham, Birmingham, UK.
- Centre for Human Brain Health, University of Birmingham, Birmingham, UK.
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Mayorga NA, Manning KF, Garey L, Viana AG, Ditre JW, Zvolensky MJ. The Role of Experiential Avoidance in Terms of Fatigue and Pain During COVID-19 Among Latinx Adults. COGNITIVE THERAPY AND RESEARCH 2022; 46:470-479. [PMID: 35125558 PMCID: PMC8802248 DOI: 10.1007/s10608-022-10292-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/17/2022] [Indexed: 11/25/2022]
Abstract
Background Latinx persons are overrepresented in terms of 2019 Coronavirus (COVID-19) infection rates and constitute a subpopulation at increased risk for COVID-19 related physical ailments. Fatigue and pain are among the most prevalent somatic symptoms among the Latinx population; however, there is little understanding of individual difference factors that are related to fatigue and pain during COVID-19 among this health disparities population. Experiential avoidance (EA) reflects the persistent tendency to avoid aversive internal sensations. Methods The current study sought to extend past work by exploring EA in relation to fatigue severity, pain intensity, and pain disability among 182 Latinx adult persons during the COVID-19 pandemic. Results Results indicated that EA accounted for a statistically significant amount of variance across the criterion variables. Conclusions Overall, the current work provides initial empirical evidence that EA is related to greater fatigue severity and pain severity/disability among Latinx persons during COVID-19.
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Affiliation(s)
- Nubia A. Mayorga
- Department of Psychology, University of Houston, 126 Heyne Building, Houston, TX USA
| | - Kara F. Manning
- Department of Psychology, University of Houston, 126 Heyne Building, Houston, TX USA
| | - Lorra Garey
- Department of Psychology, University of Houston, 126 Heyne Building, Houston, TX USA
| | - Andres G. Viana
- Department of Psychology, University of Houston, 126 Heyne Building, Houston, TX USA
| | - Joseph W. Ditre
- Department of Psychology, Syracuse University, New York, NY USA
| | - Michael J. Zvolensky
- Department of Psychology, University of Houston, 126 Heyne Building, Houston, TX USA
- Department of Behavioral Science, The University of Texas MD Anderson Cancer Center, Houston, TX USA
- HEALTH Institute, University of Houston, Houston, TX USA
- Department of Psychology, University of Houston, 3695 Cullen Blvd., Room 126, Houston, TX 77204 USA
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Yoshimoto T, Fujii T, Oka H, Kasahara S, Kawamata K, Matsudaira K. Pain Status and Its Association with Physical Activity, Psychological Stress, and Telework among Japanese Workers with Pain during the COVID-19 Pandemic. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph18115595. [PMID: 34073863 PMCID: PMC8197253 DOI: 10.3390/ijerph18115595] [Citation(s) in RCA: 18] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 04/19/2021] [Revised: 05/15/2021] [Accepted: 05/20/2021] [Indexed: 12/20/2022]
Abstract
Changes in working styles and physical activities, and an increase in psychological stress during the coronavirus disease 2019 (COVID-19) pandemic, may have affected pain conditions among workers with pain; however, these associations are still poorly understood. Therefore, we conducted a web-based, cross-sectional study to investigate these changes among Japanese workers suffering from pain. A total of 1941 workers who were aged 20–64 years and suffered from body pain within 4 weeks prior to the study were included. Information was collected using a self-reported questionnaire between July and August 2020. Among the respondents, 15% reported that their pain worsened during the COVID-19 pandemic. Approximately half of the workers claimed to have decreased physical activity (47%) and increased psychological stress (47%) during the pandemic. Multivariable logistic regression analyses found that telework (odds ratio 2.27, 95% confidence interval 1.68–3.06), decreased physical activity (3.18, 2.38–4.27), and increased psychological stress (2.16, 1.64–2.84) were associated significantly with pain augmentation. The group of workers who participated in telework and had decreased physical activity comprised the highest proportion of those with augmented pain. Our findings suggest that measures, which consider physical activities, psychological aspects, and working styles, to alleviate pain may be required for the working population in the future.
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Affiliation(s)
- Takahiko Yoshimoto
- Department of Hygiene, Public Health and Preventive Medicine, Showa University School of Medicine, Tokyo 142-8555, Japan
- Department of Medical Research and Management for Musculoskeletal Pain, 22nd Century Medical & Research Center, Faculty of Medicine, The University of Tokyo, Tokyo 113-8655, Japan; (T.F.); (H.O.); (K.K.); (K.M.)
- Correspondence: ; Tel.: +81-3-3784-8134
| | - Tomoko Fujii
- Department of Medical Research and Management for Musculoskeletal Pain, 22nd Century Medical & Research Center, Faculty of Medicine, The University of Tokyo, Tokyo 113-8655, Japan; (T.F.); (H.O.); (K.K.); (K.M.)
| | - Hiroyuki Oka
- Department of Medical Research and Management for Musculoskeletal Pain, 22nd Century Medical & Research Center, Faculty of Medicine, The University of Tokyo, Tokyo 113-8655, Japan; (T.F.); (H.O.); (K.K.); (K.M.)
| | - Satoshi Kasahara
- Department of Anesthesiology and Pain Relief Center, The University of Tokyo Hospital, Tokyo 113-8655, Japan;
| | - Kayo Kawamata
- Department of Medical Research and Management for Musculoskeletal Pain, 22nd Century Medical & Research Center, Faculty of Medicine, The University of Tokyo, Tokyo 113-8655, Japan; (T.F.); (H.O.); (K.K.); (K.M.)
| | - Ko Matsudaira
- Department of Medical Research and Management for Musculoskeletal Pain, 22nd Century Medical & Research Center, Faculty of Medicine, The University of Tokyo, Tokyo 113-8655, Japan; (T.F.); (H.O.); (K.K.); (K.M.)
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Bazan CS. Ejercicio físico en el dolor musculoesquelético en tiempos de confinamiento social por Covid 19. REVISTA CUIDARTE 2021. [DOI: 10.15649/cuidarte.2115] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022] Open
Abstract
El COVID-19 es una enfermedad causada por el virus del Síndrome Respiratorio Agudo Severo Coronavirus 2 (SARS-CoV-2), desarrollando una emergencia de salud pública en diferentes países a nivel mundial1. La pandemia COVID-19 ha obligado a las autoridades públicas sanitarias a nivel mundial a imponer un confinamiento social obligatorio como estrategia de contención epidemiológica. El confinamiento social tuvo un impacto negativo en los niveles de actividad física, la calidad del sueño y el bienestar en un grupo de adultos físicamente activos. Las autoridades de salud pública deben ser conscientes de que las personas que suelen llevar un estilo de vida activo, podrían ser particularmente susceptibles a tales trastornos2. Así mismo la pandemia Covid 19 afectado los niveles de actividad física a consecuencia del confinamiento social obligatorio siendo este de suma importancia en la prevención de diferentes problemas de la salud. Por otro lado, el brote del COVID-19 a nivel mundial ha desencadenado una pandemia que pone en peligro la salud mundial. El mundo del deporte también está sufriendo enormes consecuencias, como la suspensión de los Juegos Olímpicos de Tokio 20203 y otras disciplinas de distintas federaciones del deporte a nivel mundial.
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