The social threats of COVID-19 for people with chronic pain

Karos, Kai; McParland, Joanna L.; Bunzli, Samantha; Devan, Hemakumar; Hirsh, Adam T.; Kapos, Flavia P.; Keogh, Edmund; Moore, D. J.; Tracy, Lincoln M.; Ashton‐James, Claire E.

doi:10.1097/j.pain.0000000000002004

Cited by 124 publications

(136 citation statements)

References 85 publications

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“…Collectively, it may be that the heightened pain expression exemplified by catastrophizing serves a useful purpose, allowing the individual's distress about pain to be recognized and managed within their social context. 36 Pain catastrophizing may therefore simultaneously fulfill adaptive functions (eg, recruiting social support) and maladaptive functions (eg, amplifying pain severity and disability), 35 a process that is consistent with our study findings.…”

Section: Discussionsupporting

confidence: 86%

“… 46 Thus, individuals with chronic pain may be at an increased risk of both physical and mental health deterioration 31 during social distancing. 36 Worsening of pain may contribute to a reliance on maladaptive coping strategies, such as substance abuse and increased suicidal ideation, which are already elevated among individuals with chronic pain. 35 In addition, social distancing mandates have restricted or eliminated access to many adjunctive therapies for pain, including acupuncture, massage, physical therapy, rehabilitation therapy, and counseling services, potentially further contributing to worsening pain and stress.…”

Section: Introductionmentioning

confidence: 99%

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Cross-sectional study of psychosocial and pain-related variables among patients with chronic pain during a time of social distancing imposed by the coronavirus disease 2019 pandemic

Hruschak

Flowers

Azizoddin

et al. 2020

Pain

100

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Section: Discussionsupporting

confidence: 86%

Section: Introductionmentioning

confidence: 99%

Cross-sectional study of psychosocial and pain-related variables among patients with chronic pain during a time of social distancing imposed by the coronavirus disease 2019 pandemic

Hruschak

Flowers

Azizoddin

et al. 2020

Pain

100

View full text Add to dashboard Cite

show abstract

“…Asking these questions also contributes to factors beyond patient education and care, such as facilitating access to nonacute symptom or pain management services such as allied health. These health services still need to be maintained during and after the pandemic, and for musculoskeletal health in particular, there is emerging commentary around the physical and psychosocial impacts of inhibited access [ 44 , 45 ].…”

Section: Discussionmentioning

confidence: 99%

Tweets by People With Arthritis During the COVID-19 Pandemic: Content and Sentiment Analysis

Berkovic¹,

Ackerman²,

Briggs³

et al. 2020

J Med Internet Res

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Background Emerging evidence suggests that people with arthritis are reporting increased physical pain and psychological distress during the COVID-19 pandemic. At the same time, Twitter’s daily usage has surged by 23% throughout the pandemic period, presenting a unique opportunity to assess the content and sentiment of tweets. Individuals with arthritis use Twitter to communicate with peers, and to receive up-to-date information from health professionals and services about novel therapies and management techniques. Objective The aim of this research was to identify proxy topics of importance for individuals with arthritis during the COVID-19 pandemic, and to explore the emotional context of tweets by people with arthritis during the early phase of the pandemic. Methods From March 20 to April 20, 2020, publicly available tweets posted in English and with hashtag combinations related to arthritis and COVID-19 were extracted retrospectively from Twitter. Content analysis was used to identify common themes within tweets, and sentiment analysis was used to examine positive and negative emotions in themes to understand the COVID-19 experiences of people with arthritis. Results In total, 149 tweets were analyzed. The majority of tweeters were female and were from the United States. Tweeters reported a range of arthritis conditions, including rheumatoid arthritis, systemic lupus erythematosus, and psoriatic arthritis. Seven themes were identified: health care experiences, personal stories, links to relevant blogs, discussion of arthritis-related symptoms, advice sharing, messages of positivity, and stay-at-home messaging. Sentiment analysis demonstrated marked anxiety around medication shortages, increased physical symptom burden, and strong desire for trustworthy information and emotional connection. Conclusions Tweets by people with arthritis highlight the multitude of concurrent concerns during the COVID-19 pandemic. Understanding these concerns, which include heightened physical and psychological symptoms in the context of treatment misinformation, may assist clinicians to provide person-centered care during this time of great health uncertainty.

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“…Because of compromised health care services and their limited accessibility during the pandemic, socioeconomic disadvantages, and exposure to enhanced psychological stressors (eg, because of social disconnection or the risks of increased social proximity), patients with chronic pain may experience an exacerbation of symptoms. 15 , 38 , 39 , 70 Therefore, special recommendations for the care of chronic pain 19 , 70 and palliative care patients 55 have recently been published.…”

Section: Impact Of the Covid-19 Pandemic On Chronic Pain Patientsmentioning

confidence: 99%

Pain during and after COVID-19 in Germany and worldwide: a narrative review of current knowledge

Meyer-Frießem

Gierthmühlen

Baron

et al. 2021

PR9

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Pain is a common symptom accompanying the coronavirus disease 2019 (COVID-19) caused by the severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2). Nonspecific discomfort such as sore throat and body ache are frequent. Parainfectious pain such as headache, myalgia, or neuropathic pain has also been reported. The latter seems to be associated with an autoimmune response or an affection of the peripheral neuromuscular system or the central nervous system because of the viral infection. Furthermore, chronic pain can be a complication of intensive care unit treatment due to COVID-19 itself (such as intensive care-acquired weakness) or of secondary diseases associated with the SARS-CoV-2 infection, including Guillain-Barr é syndrome, polyneuritis, critical illness polyneuropathy, or central pain following cerebrovascular events. Data on long-lasting painful symptoms after clinically manifest COVID-19 and their consequences are lacking. In addition, preexisting chronic pain may be exacerbated by limited and disrupted health care and the psychological burden of the COVID-19 pandemic. Medical providers should be vigilant on pain during and after COVID-19.

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The social threats of COVID-19 for people with chronic pain

Cited by 124 publications

References 85 publications

Cross-sectional study of psychosocial and pain-related variables among patients with chronic pain during a time of social distancing imposed by the coronavirus disease 2019 pandemic

Cross-sectional study of psychosocial and pain-related variables among patients with chronic pain during a time of social distancing imposed by the coronavirus disease 2019 pandemic

Tweets by People With Arthritis During the COVID-19 Pandemic: Content and Sentiment Analysis

Pain during and after COVID-19 in Germany and worldwide: a narrative review of current knowledge

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