Trajectories and Individual Differences in Pain, Emotional Distress, and Prescription Opioid Misuse During the COVID-19 Pandemic: A One-Year Longitudinal Study - 05/07/22
, Claudia M. Campbell †, Lakeya S. McGill ‡, Stephen T. Wegener ‡, Rachel V. Aaron ‡
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Highlights |
• | Overall, pain, emotional distress, and opioid misuse did not deteriorate during the pandemic. |
• | Outcome trajectories were stable across different socio-demographic factors. |
• | Pain acceptance facilitated improvements in pain severity and depressive symptoms. |
Abstract |
Recent studies suggest that the COVID-19 pandemic can serve as a unique psychosocial stressor that can negatively impact individuals with chronic pain. Using a large online sample in the U.S., the present study sought to investigate the impact of the pandemic on the trajectories of pain severity and interference, emotional distress (ie, anxiety and depressive symptoms), and opioid misuse behaviors across one year. Potential moderating effects of socio-demographic factors and individual differences in pain catastrophizing, pain acceptance, and sleep disturbance on outcome trajectories were also examined. Adults with chronic pain were surveyed three times across 1 year (April/May 2020 [N = 1,453]; June/July 2020 [N = 878], and May 2021 [N = 813]) via Amazon's Mechanical Turk online crowdsourcing platform. Mixed-effects growth models revealed that pain severity and interference, emotional distress, and opioid misuse behaviors did not significantly deteriorate across one year during the pandemic. None of the socio-demographic factors, pain catastrophizing, or sleep disturbance moderated outcome trajectories. However, individuals with higher pain acceptance reported greater improvement in pain severity (P< .008, 95% CI: -.0002, -.00004) and depressive symptoms (P< .001, 95% CI: -.001, -.0004) over time. Our findings suggest that the negative impact of the pandemic on pain, emotional distress, and opioid misuse behaviors is quite small overall. The outcome trajectories were also stable across different socio-demographic factors, as well as individual differences in pain catastrophizing and sleep disturbance. Nevertheless, interventions that target improvement of pain acceptance may help individuals with chronic pain be resilient during the pandemic.
Perspective |
Individuals with chronic pain overall did not experience significant exacerbation of pain, emotional distress, and opioid misuse across one year during the COVID-19 pandemic. Individuals with higher pain acceptance showed greater improvement in pain severity and depressive symptoms over time during the pandemic.
Le texte complet de cet article est disponible en PDF.Key Words : COVID-19, chronic pain, depression, anxiety, pain acceptance, pain catastrophizing, Sleep, opioid
Plan
| Funding for this research was provided by National Institutes of Health grants: F32DA049393 (C.J.M.), R01MD009063 (C.M.C) and T32HD007414 (for L.S.M.’s postdoctoral training). |
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| The authors have no conflicts of interest to disclose. |
Vol 23 - N° 7
P. 1234-1244 - juillet 2022 Retour au numéro
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