Department of Psychology, University of Houston, Houston, TX, USA.
Department of Behavioral Science, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Cogn Behav Ther. 2021 Nov;50(6):466-478. doi: 10.1080/16506073.2021.1874504. Epub 2021 Feb 10.
The 2019 novel SARS-CoV2 disease causing COVID-19 has had a devastating impact on the world, and those with pain conditions may be at heightened risk for these negative consequences. Given COVID-19 limitations, including social distancing and stay-at-home orders, pain is likely largely going untreated, leading to greater pain and associated consequences. Mental health symptoms, which have been found to be elevated due to COVID-19, may contribute to elevated pain experience, but little work has examined how COVID-19-specific mental health factors may be associated with pain. Therefore, the current study examined (1) how COVID-19-specific psychological factors and general mental health symptoms differ between those with pain and without, and (2) among those with pain, which psychological factors were most strongly associated with pain experience. Results from a national (U.S. based) online sample of 174 adults (42.5% female, = 37.80 years, = 11.30, 88 with pain) collected between April and May 2020 indicated that, compared to those individuals reporting no pain, those with pain reported significantly higher values on all variables. Additionally, COVID-19 fear and sleep problems were associated with pain intensity, and for pain-related interference, fear, sleep problems, and depression were significantly associated. These results highlight the potential importance of COVID-19-specific psychological factors in pain experience.
2019 年新型 SARS-CoV2 疾病导致的 COVID-19 对世界造成了毁灭性的影响，而那些有疼痛状况的人可能面临更高的这些负面后果的风险。鉴于 COVID-19 的限制，包括社交距离和居家令，疼痛很可能得不到充分治疗，导致疼痛加剧和相关后果。由于 COVID-19 而发现的心理健康症状可能会导致疼痛体验加剧，但很少有研究探讨 COVID-19 特定的心理健康因素与疼痛之间的关系。因此，本研究考察了：（1）在有疼痛和无疼痛的个体之间，COVID-19 特定的心理因素和一般心理健康症状有何不同；（2）在有疼痛的个体中，哪些心理因素与疼痛体验最密切相关。2020 年 4 月至 5 月期间，从美国全国性的在线样本中抽取了 174 名成年人（42.5%为女性，年龄=37.80 岁，标准差=11.30，有 88 人有疼痛），结果表明，与没有疼痛的个体相比，有疼痛的个体在所有变量上的得分都明显更高。此外，COVID-19 恐惧和睡眠问题与疼痛强度相关，而对于疼痛相关的干扰，恐惧、睡眠问题和抑郁与疼痛相关的干扰显著相关。这些结果突出了 COVID-19 特定心理因素在疼痛体验中的潜在重要性。
