Pain Intensity, Depression, and Anxiety Levels Among Patients With Chronic Pain During COVID-19 Pandemic

Bilen, Aysegul; Kucukkepeci, Hakan

doi:10.1097/nmd.0000000000001466

Cited by 10 publications

(11 citation statements)

References 33 publications

(75 reference statements)

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“…These findings are consistent with studies showing that individuals with chronic pain experience statistically and significantly worse psychological function [ 26 , 27 ]. In fact, similar to previous studies, including those conducted during the first-wave lockdown (e.g., [ 5 , 28 , 29 , 30 ]), the data also showed that chronic pain is a significant predictor of worse psychological function.…”

Section: Discussionsupporting

confidence: 89%

The Role of Resilience, Happiness, and Social Support in the Psychological Function during the Late Stages of the Lockdown in Individuals with and without Chronic Pain

Miró

Sánchez‐Rodríguez

Nolla

et al. 2022

IJERPH

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There is mounting evidence to suggest that individuals with chronic pain adjusted poorly to and were impacted negatively by social distancing measures during the lockdown. However, there is limited data on the factors that might protect against the negative effects associated with social distancing measures, as most research has been conducted in the general population and in the initial stages of the lockdown. The aim of this study was to improve the understanding of the role that resilience, happiness, and social support, all factors that are thought to have a protective role, played in the psychological function (measured as anxiety, depression, and stress) to the social distancing measures during the late stages of the lockdown in a sample of adults with and without chronic pain living in Spain. A group of 434 adults responded to an online survey and provided information on sociodemographic issues, which included measures of pain, perceived health and quality of life, depression, anxiety, stress, resilience, happiness, and social support. The data showed that individuals with chronic pain (N = 200; 46%) reported statistically significant worst psychological function, that is to say, they reported higher levels of anxiety, depression, and stress (all ps < 0.001). Resilience, social support, and happiness proved to be significant predictors of anxiety, depression, and stress, after controlling for the effects of age, gender, and chronic pain. Although the effect sizes were small to medium, they are consistent with the findings of other studies. The findings from this study provide important additional new information regarding the associations between resilience, happiness, and social support and the adjustment to the social distancing measures during the late stages of the lockdown. These findings can be used to develop programs to improve adjustment to and coping with the demands of social distancing measures.

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Section: Discussionsupporting

confidence: 89%

The Role of Resilience, Happiness, and Social Support in the Psychological Function during the Late Stages of the Lockdown in Individuals with and without Chronic Pain

Miró

Sánchez‐Rodríguez

Nolla

et al. 2022

IJERPH

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“…Both increased and decreased pain, anxiety, and depression have been described in chronic pain patients. 40,41 Some patients in the current study reported less pain due to decreased social pressure and an altered perspective on health and wellbeing.…”

Section: Main Findingsmentioning

confidence: 69%

Effect of a Behavioral Therapy-Based Virtual Reality Application on Quality of Life in Chronic Low Back Pain

Groenveld¹,

Smits²,

Knoop

et al. 2023

The Clinical Journal of Pain

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Objectives: Low back pain is the leading cause of years lived with disability with a large impact on quality of life and resistance to a broad array of current treatments. This study aimed to investigate the effect of a novel self-administered behavioral therapy-based virtual reality (VR) application on the quality of life of patients with nonspecific chronic low back pain (CLBP).Methods: A pilot randomized controlled trial was conducted in adults with nonspecific CLBP with moderate to severe pain, waiting for treatment in a teaching hospital-based pain clinic. The intervention group used a self-administered behavioral therapy-based VR application for at least 10 minutes daily for 4 weeks. The control group received standard care. The primary outcome was quality of life at 4 weeks measured by the short form-12 physical and mental scores. Secondary outcomes were daily worst and least pain, pain coping strategies, activities of daily living, positive health, anxiety, and depression. Discontinuation of therapy and adverse events were analyzed as well.Results: Forty-one patients were included. One patient withdrew due to personal reasons. No significant treatment effect was found for the short form-12 physical score (mean difference: 2.6 points; 95% CI: −5.60 to 0.48) and mental score (−1.75; −6.04 to 2.53) at 4 weeks. There was a significant treatment effect for daily "worst pain score" (F [1, 91.425] = 33.3, P < 0.001) and "least pain score" (F [1, 30.069] = 11.5, P = 0.002). Three patients reported mild and temporary dizziness.Discussion: Four weeks of self-administered VR for CLBP does not improve quality of life, however, it may positively affect daily pain experience.

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“…Additionally, the majority of patients had their treatments postponed, cancelled, or otherwise made unavailable owing to the pandemic. This serious interruption of treatment may have a negative impact on the health and wellbeing of people suffering from chronic pain [49). Therefore, it should be remembered that, in this study, conducted within the scope of the pandemic, the results may have been influenced by the presence of mental alterations resulting from the conditions of the pandemic [50,51].…”

Section: Discussionmentioning

confidence: 91%

Quality of life and functionality in patients suffering from chronic pain, anxiety and depression

COSTA¹,

Gomez²

2023

Arch Psych Psych

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Aim of the studyMental illnesses are common in patients with chronic pain, and this association may result in changes in functional status. This study assessed the functionality and quality of life of patients with chronic pain, anxiety, and depression.Subject or material and methodsA total of 103 patients were interviewed at Federal University of Minas Gerais’ (UFMG) Hospital das Clínicas Pain Center, in 2020 and 2021. The presence of depression and anxiety symptoms, pain intensity, quality of life, and functionality was assessed. The cohort studied was stratified into groups suffering from mild, moderate, and intense pain in accordance with the visual numeric scale, and these patients then underwent descriptive and comparative analyses. Subsequently, a multivariate analysis was performed, followed by linear regression analysis to identify risk factors and variables that contributed to the pain being felt.ResultsIn total, 16.5% of the patients were diagnosed with symptoms of anxiety, 13.59% with depression, and 34.95% presented symptoms of both anxiety and depression. The functionality assessment revealed severe incapacity, with the highest levels of incapacity present in those suffering from the most intense pain.DiscussionPatients with symptoms of anxiety and depression presented a worse quality of life than those without these symptoms, with some aspects directly related to pain intensity.ConclusionsChronic pain, in the presence of symptoms of anxiety and depression, produces severe functional psychosocial incapacity and a low quality of life, which are directly related to pain intensity. Skin color, suicidal ideation, and psychosocial issues are associated with depression, anxiety, and chronic pain.

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Pain Intensity, Depression, and Anxiety Levels Among Patients With Chronic Pain During COVID-19 Pandemic

Cited by 10 publications

References 33 publications

The Role of Resilience, Happiness, and Social Support in the Psychological Function during the Late Stages of the Lockdown in Individuals with and without Chronic Pain

The Role of Resilience, Happiness, and Social Support in the Psychological Function during the Late Stages of the Lockdown in Individuals with and without Chronic Pain

Effect of a Behavioral Therapy-Based Virtual Reality Application on Quality of Life in Chronic Low Back Pain

Quality of life and functionality in patients suffering from chronic pain, anxiety and depression

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