Cargando…

Initial Adjustment to the COVID-19 Pandemic and the Associated Shutdown in Children and Adolescents With Chronic Pain and Their Families

Objectives: Youth with chronic pain often struggle to function in multiple domains due to pain and associated psychosocial distress. In 2020, schools and businesses shut down and people were encouraged to remain at home due to the COVID-19 pandemic, eliminating or reducing stress due to functional d...

Descripción completa

Detalles Bibliográficos
Autores principales: Kaczynski, Karen J., Chang, Cindy Yu Hsing, Chimoff, Justin, Koike, Camila, Berde, Charles B., Logan, Deirdre E., Nelson, Sarah, Kossowsky, Joe
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8915775/
https://www.ncbi.nlm.nih.gov/pubmed/35295442
http://dx.doi.org/10.3389/fpain.2021.713430
_version_ 1784668123388968960
author Kaczynski, Karen J.
Chang, Cindy Yu Hsing
Chimoff, Justin
Koike, Camila
Berde, Charles B.
Logan, Deirdre E.
Nelson, Sarah
Kossowsky, Joe
author_facet Kaczynski, Karen J.
Chang, Cindy Yu Hsing
Chimoff, Justin
Koike, Camila
Berde, Charles B.
Logan, Deirdre E.
Nelson, Sarah
Kossowsky, Joe
author_sort Kaczynski, Karen J.
collection PubMed
description Objectives: Youth with chronic pain often struggle to function in multiple domains due to pain and associated psychosocial distress. In 2020, schools and businesses shut down and people were encouraged to remain at home due to the COVID-19 pandemic, eliminating or reducing stress due to functional difficulties. This study assessed whether pain and associated psychosocial outcomes improved in youth with chronic pain during the shutdown, compared with before the pandemic. Methods: Patients who completed clinical outcome measures during a multidisciplinary evaluation before the pandemic were readministered the same measures (PROMIS Anxiety, Depression, Sleep Disturbance, PCS, PedsQL) during the shutdown. At follow-up, patients also completed measures of adjustment to COVID-19 and their parents completed a measure of pandemic effects. Results: Participants included 47 patients ages 8–18 and a parent/guardian. The pandemic impacted families in both positive (e.g., more quality time with family) and negative ways (e.g., social isolation, disruption in care). Pain intensity and pain catastrophizing significantly decreased during the shutdown (ps <0.01). Change in pain catastrophizing was correlated positively with change in psychological stress (p = 0.004) and anxiety (p = 0.005) and negatively with change in quality of life (p = 0.024). Discussion: Pain and pain catastrophizing decreased initially during the shutdown related to the COVID-19 pandemic. Change in catastrophizing was associated with change in stress and anxiety. It may be that the reduction in functional demands contributed to this change. Functional difficulties should be addressed in treatment, including pain coping and also environmental modification to support optimal functioning in youth with chronic pain.
format Online
Article
Text
id pubmed-8915775
institution National Center for Biotechnology Information
language English
publishDate 2021
publisher Frontiers Media S.A.
record_format MEDLINE/PubMed
spelling pubmed-89157752022-03-15 Initial Adjustment to the COVID-19 Pandemic and the Associated Shutdown in Children and Adolescents With Chronic Pain and Their Families Kaczynski, Karen J. Chang, Cindy Yu Hsing Chimoff, Justin Koike, Camila Berde, Charles B. Logan, Deirdre E. Nelson, Sarah Kossowsky, Joe Front Pain Res (Lausanne) Pain Research Objectives: Youth with chronic pain often struggle to function in multiple domains due to pain and associated psychosocial distress. In 2020, schools and businesses shut down and people were encouraged to remain at home due to the COVID-19 pandemic, eliminating or reducing stress due to functional difficulties. This study assessed whether pain and associated psychosocial outcomes improved in youth with chronic pain during the shutdown, compared with before the pandemic. Methods: Patients who completed clinical outcome measures during a multidisciplinary evaluation before the pandemic were readministered the same measures (PROMIS Anxiety, Depression, Sleep Disturbance, PCS, PedsQL) during the shutdown. At follow-up, patients also completed measures of adjustment to COVID-19 and their parents completed a measure of pandemic effects. Results: Participants included 47 patients ages 8–18 and a parent/guardian. The pandemic impacted families in both positive (e.g., more quality time with family) and negative ways (e.g., social isolation, disruption in care). Pain intensity and pain catastrophizing significantly decreased during the shutdown (ps <0.01). Change in pain catastrophizing was correlated positively with change in psychological stress (p = 0.004) and anxiety (p = 0.005) and negatively with change in quality of life (p = 0.024). Discussion: Pain and pain catastrophizing decreased initially during the shutdown related to the COVID-19 pandemic. Change in catastrophizing was associated with change in stress and anxiety. It may be that the reduction in functional demands contributed to this change. Functional difficulties should be addressed in treatment, including pain coping and also environmental modification to support optimal functioning in youth with chronic pain. Frontiers Media S.A. 2021-09-30 /pmc/articles/PMC8915775/ /pubmed/35295442 http://dx.doi.org/10.3389/fpain.2021.713430 Text en Copyright © 2021 Kaczynski, Chang, Chimoff, Koike, Berde, Logan, Nelson and Kossowsky. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Pain Research
Kaczynski, Karen J.
Chang, Cindy Yu Hsing
Chimoff, Justin
Koike, Camila
Berde, Charles B.
Logan, Deirdre E.
Nelson, Sarah
Kossowsky, Joe
Initial Adjustment to the COVID-19 Pandemic and the Associated Shutdown in Children and Adolescents With Chronic Pain and Their Families
title Initial Adjustment to the COVID-19 Pandemic and the Associated Shutdown in Children and Adolescents With Chronic Pain and Their Families
title_full Initial Adjustment to the COVID-19 Pandemic and the Associated Shutdown in Children and Adolescents With Chronic Pain and Their Families
title_fullStr Initial Adjustment to the COVID-19 Pandemic and the Associated Shutdown in Children and Adolescents With Chronic Pain and Their Families
title_full_unstemmed Initial Adjustment to the COVID-19 Pandemic and the Associated Shutdown in Children and Adolescents With Chronic Pain and Their Families
title_short Initial Adjustment to the COVID-19 Pandemic and the Associated Shutdown in Children and Adolescents With Chronic Pain and Their Families
title_sort initial adjustment to the covid-19 pandemic and the associated shutdown in children and adolescents with chronic pain and their families
topic Pain Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8915775/
https://www.ncbi.nlm.nih.gov/pubmed/35295442
http://dx.doi.org/10.3389/fpain.2021.713430
work_keys_str_mv AT kaczynskikarenj initialadjustmenttothecovid19pandemicandtheassociatedshutdowninchildrenandadolescentswithchronicpainandtheirfamilies
AT changcindyyuhsing initialadjustmenttothecovid19pandemicandtheassociatedshutdowninchildrenandadolescentswithchronicpainandtheirfamilies
AT chimoffjustin initialadjustmenttothecovid19pandemicandtheassociatedshutdowninchildrenandadolescentswithchronicpainandtheirfamilies
AT koikecamila initialadjustmenttothecovid19pandemicandtheassociatedshutdowninchildrenandadolescentswithchronicpainandtheirfamilies
AT berdecharlesb initialadjustmenttothecovid19pandemicandtheassociatedshutdowninchildrenandadolescentswithchronicpainandtheirfamilies
AT logandeirdree initialadjustmenttothecovid19pandemicandtheassociatedshutdowninchildrenandadolescentswithchronicpainandtheirfamilies
AT nelsonsarah initialadjustmenttothecovid19pandemicandtheassociatedshutdowninchildrenandadolescentswithchronicpainandtheirfamilies
AT kossowskyjoe initialadjustmenttothecovid19pandemicandtheassociatedshutdowninchildrenandadolescentswithchronicpainandtheirfamilies