Impact of the COVID-19 pandemic on the pharmacological, physical, and psychological treatments of pain: findings from the Chronic Pain &amp; COVID-19 Pan-Canadian Study

Lacasse, Anaïs; Pagé, M. Gabrielle; Dassieu, Lise; Sourial, Nadia; Janelle-Montcalm, Audrée; Dorais, Marc; Nguefack, Hermine Lore Nguena; Godbout-Parent, Marimée; Hudspith, Maria; Moor, Gregg; Sutton, Kathryn S.; Thompson, James M.; Choinière, Manon

doi:10.1097/pr9.0000000000000891

Cited by 53 publications

(58 citation statements)

References 52 publications

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“…Regarding the two non-binary participants in this study, they cumulated several increasing health and social challenges such as disabilities and financial precarity. In the previous quantitative investigations of pandemic impacts on chronic pain, the situation of non-binary people could not be documented due to insufficient data [ 43 – 46 ]. According to results from the COVID-19 and Chronic pain Pan-Canadian quantitative study, changes in pain treatment due to the pandemic were more frequent among women than men [ 46 ].…”

Section: Discussionmentioning

confidence: 99%

“…This study is the qualitative component of a convergent mixed-methods project examining the impact of the COVID-19 pandemic and related public health measures on Canadians living with chronic pain: the Chronic Pain & COVID-19 Pan-Canadian Study [ 43 , 46 ]. The quantitative component included an online survey aimed at exploring changes in participants’ pain severity, pain treatment, and psychological well-being during the pandemic.…”

Section: Methodsmentioning

confidence: 99%

“…The study inclusion criteria were similar to those used in the quantitative component of the project [ 43 , 46 ], namely (1) living with pain for longer than three months, (2) living in Canada, (3) being 18 years or older, (4) being fluent in English or French, and (5) being able to provide consent using an online form. To embrace a wide range of situations [ 51 , 52 ], we diversified the sample according to age, province of residence, gender identity, ethnicity (including Indigenous Peoples of Canada identification), and living area (rural/urban).…”

Section: Methodsmentioning

confidence: 99%

“…A survey among Canadian pain clinics underscored major disruptions of services offered in these facilities during the COVID-19 first wave [ 42 ]. A few recent quantitative studies in Spain and North America [ 43 – 46 ] have identified some negative impacts of the pandemic on pain and its management, such as pain deterioration due to increased stress and anxiety [ 43 – 45 ] and changes in pain treatments [ 43 , 46 ]. However, currently, no qualitative studies have examined the impacts of the pandemic from the perspectives of individuals living with chronic pain.…”

Section: Introductionmentioning

confidence: 99%

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Chronic pain experience and health inequities during the COVID-19 pandemic in Canada: qualitative findings from the chronic pain & COVID-19 pan-Canadian study

Dassieu

Pagé

Lacasse

et al. 2021

Int J Equity Health

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Background Chronic pain affects about 20 % of the Canadian population and can lead to physical, psychological and social vulnerabilities. However, this condition remains poorly recognized and undertreated. During 2020, as the COVID-19 pandemic disrupted daily living and health care systems, the situation of people with chronic pain has drawn little public attention. Methods This qualitative study was part of a pan-Canadian mixed-methods project and aimed to understand the experiences and challenges of people living with chronic pain during the COVID-19 pandemic in Canada. Between May and August 2020, we conducted in-depth semi-structured interviews with 22 individuals living with chronic pain across the country. We used reflexive thematic analysis to interpret data. Results Our findings underscored four dimensions of the chronic pain experience during the pandemic: (1) Reinforced vulnerability due to uncertainties regarding pain and its management; (2) Social network as a determinant of pain and psychological condition; (3) Increasing systemic inequities intermingling with the chronic pain experience; (4) More viable living conditions due to confinement measures. Though several participants reported improvements in their quality of life and reduced social pressure in the context of stay-at-home orders, participants from socio-economically deprived groups and minorities reported more challenges in accessing pain relief, health care services, and psychosocial support. Conclusions The COVID-19 pandemic has revealed and intensified pre-existing disparities and challenges among people living with chronic pain in terms of material resources, psychosocial condition, social support, and access to care. In post-pandemic times, it will be essential to address flaws in health and welfare policies to foster equity and social inclusiveness of people with chronic pain.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Chronic pain experience and health inequities during the COVID-19 pandemic in Canada: qualitative findings from the chronic pain & COVID-19 pan-Canadian study

Dassieu

Pagé

Lacasse

et al. 2021

Int J Equity Health

Self Cite

View full text Add to dashboard Cite

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“…We expect our study to trigger discussions on pain management in workers. Lastly, the effects of a lack of access to clinics/facilities for pain treatment/management due to the COVID-19 pandemic [ 33 ] or general health status were not considered in our analysis, as we did not collect this information in the questionnaire.…”

Section: Discussionmentioning

confidence: 99%

Pain Status and Its Association with Physical Activity, Psychological Stress, and Telework among Japanese Workers with Pain during the COVID-19 Pandemic

Yoshimoto

Fujii

Oka

et al. 2021

IJERPH

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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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Pain catastrophizing mediates rapid benefits of accessing in‐person chiropractic care during the COVID‐19 lockdown

Gevers‐Montoro

Deldar

Conesa-Buendía

et al. 2021

European Journal of Pain

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Background In March 2020, the COVID‐19 pandemic forced the Spanish government to declare a state of emergency. A stringent lockdown was enforced, restricting access to healthcare services, including chiropractic. Reduced access to care provision in combination with psychological stress, social isolation and physical inactivity during the lockdown were shown to negatively influence pain conditions. However, data on strategies to mitigate the impact of the pandemic on these conditions are lacking. Methods Upon easing of restrictions in May 2020, 51 chiropractic clinics throughout Spain pseudo‐randomly invited patients, recruiting a total of 385 participants. During a 14‐day period, participants were exposed to in‐person chiropractic care in either one ( n = 177) or multiple encounters ( n = 109) or to no care ( n = 99). The effects of access to chiropractic care on patients’ pain‐related and psychological outcomes were assessed online through validated self‐reported questionnaires before and after the period of care. Coprimary outcomes included pain intensity, pain interference and pain cognitions. Results When comparing to participants without access to care, pain intensity and interference were significantly decreased at follow‐up, irrespective of the number of encounters. Kinesiophobia was also significantly reduced at follow‐up, though only after multiple encounters. The relationship between fear of movement, changes in pain intensity and interference was mediated by catastrophizing. Conclusion Access to in‐person chiropractic care may provide pain relief, associated with reductions in interference and pain cognitions. Prioritizing in‐person care for patients with maladaptive pain cognitions may help dampen the detrimental consequences of the pandemic on physical and psychological well‐being.

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Impact of the COVID-19 pandemic on the pharmacological, physical, and psychological treatments of pain: findings from the Chronic Pain & COVID-19 Pan-Canadian Study

Abstract: The COVID-19 pandemic had, and probably continues having, a significant negative impact on access to pharmacological, physical, and psychological pain treatments.

Cited by 53 publications

References 52 publications

Chronic pain experience and health inequities during the COVID-19 pandemic in Canada: qualitative findings from the chronic pain & COVID-19 pan-Canadian study

Chronic pain experience and health inequities during the COVID-19 pandemic in Canada: qualitative findings from the chronic pain & COVID-19 pan-Canadian study

Pain Status and Its Association with Physical Activity, Psychological Stress, and Telework among Japanese Workers with Pain during the COVID-19 Pandemic

Pain catastrophizing mediates rapid benefits of accessing in‐person chiropractic care during the COVID‐19 lockdown

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