Stress and Pain Before, During and After the First Wave of the COVID-19 Pandemic: An Exploratory Longitudinal Mixed Methods Study

Aims: This study explores the association between subjective feeling of stress and pain experience in the context of the COVID-19 pandemic with a focus on characteristics known to trigger a physiological stress response [sense of low control, threat to ego, unpredictability and novelty (STUN)].Metho...

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Autores principales:	M. Gabrielle Pagé, Lise Dassieu, Élise Develay, Mathieu Roy, Étienne Vachon-Presseau, Sonia Lupien, Pierre Rainville
Formato:	article
Lenguaje:	EN
Publicado:	Frontiers Media S.A. 2021
Materias:	chronic pain (MeSH) stress COVID-19 pandemic mixed methods control Neurology. Diseases of the nervous system RC346-429
Acceso en línea:	https://doaj.org/article/8b2c61dae9154ba5ba814b1218c01ce8
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spelling	oai:doaj.org-article:8b2c61dae9154ba5ba814b1218c01ce82021-11-30T17:22:51ZStress and Pain Before, During and After the First Wave of the COVID-19 Pandemic: An Exploratory Longitudinal Mixed Methods Study2673-561X10.3389/fpain.2021.725893https://doaj.org/article/8b2c61dae9154ba5ba814b1218c01ce82021-11-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fpain.2021.725893/fullhttps://doaj.org/toc/2673-561XAims: This study explores the association between subjective feeling of stress and pain experience in the context of the COVID-19 pandemic with a focus on characteristics known to trigger a physiological stress response [sense of low control, threat to ego, unpredictability and novelty (STUN)].Methods: This exploratory longitudinal convergent mixed methods design consisted of online questionnaires over three time points (before, during and after the 1st wave of the COVID-19 pandemic) (N = 49) and qualitative interviews (N = 27) during the 1st wave of the pandemic on distinct samples of individuals living with chronic pain (CP). Both types of data sources were mixed upon integration using joint display.Results: Mean pain intensity scores remained stable across time points, while pain unpleasantness and pain interference scores significantly improved. Global impression of change scores measured during the first wave of the pandemic do not entirely concord with pain scores evolution. Two thirds of participants reported a global deterioration of their pain condition at the beginning of the pandemic. Stress and pain catastrophizing before the pandemic were associated with pain scores throughout the pandemic; while most specific measures of stress due to the novel, uncontrollable, unpredictable and threatening nature of the pandemic were not. Qualitative data demonstrated that the deterioration reported in pain status reflected additional dimensions, including spatial expansion of the painful area, reduced access to treatments and challenges in adapting pain management strategies.Conclusions: Helping individuals to negotiate stressful aspects of the pandemic might help offset the negative impacts of stress on pain status in this context or other important life events.M. Gabrielle PagéM. Gabrielle PagéM. Gabrielle PagéLise DassieuÉlise DevelayMathieu RoyMathieu RoyÉtienne Vachon-PresseauÉtienne Vachon-PresseauÉtienne Vachon-PresseauSonia LupienSonia LupienPierre RainvillePierre RainvilleFrontiers Media S.A.articlechronic pain (MeSH)stressCOVID-19pandemicmixed methodscontrolNeurology. Diseases of the nervous systemRC346-429ENFrontiers in Pain Research, Vol 2 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	chronic pain (MeSH) stress COVID-19 pandemic mixed methods control Neurology. Diseases of the nervous system RC346-429
spellingShingle	chronic pain (MeSH) stress COVID-19 pandemic mixed methods control Neurology. Diseases of the nervous system RC346-429 M. Gabrielle Pagé M. Gabrielle Pagé M. Gabrielle Pagé Lise Dassieu Élise Develay Mathieu Roy Mathieu Roy Étienne Vachon-Presseau Étienne Vachon-Presseau Étienne Vachon-Presseau Sonia Lupien Sonia Lupien Pierre Rainville Pierre Rainville Stress and Pain Before, During and After the First Wave of the COVID-19 Pandemic: An Exploratory Longitudinal Mixed Methods Study
description	Aims: This study explores the association between subjective feeling of stress and pain experience in the context of the COVID-19 pandemic with a focus on characteristics known to trigger a physiological stress response [sense of low control, threat to ego, unpredictability and novelty (STUN)].Methods: This exploratory longitudinal convergent mixed methods design consisted of online questionnaires over three time points (before, during and after the 1st wave of the COVID-19 pandemic) (N = 49) and qualitative interviews (N = 27) during the 1st wave of the pandemic on distinct samples of individuals living with chronic pain (CP). Both types of data sources were mixed upon integration using joint display.Results: Mean pain intensity scores remained stable across time points, while pain unpleasantness and pain interference scores significantly improved. Global impression of change scores measured during the first wave of the pandemic do not entirely concord with pain scores evolution. Two thirds of participants reported a global deterioration of their pain condition at the beginning of the pandemic. Stress and pain catastrophizing before the pandemic were associated with pain scores throughout the pandemic; while most specific measures of stress due to the novel, uncontrollable, unpredictable and threatening nature of the pandemic were not. Qualitative data demonstrated that the deterioration reported in pain status reflected additional dimensions, including spatial expansion of the painful area, reduced access to treatments and challenges in adapting pain management strategies.Conclusions: Helping individuals to negotiate stressful aspects of the pandemic might help offset the negative impacts of stress on pain status in this context or other important life events.
format	article
author	M. Gabrielle Pagé M. Gabrielle Pagé M. Gabrielle Pagé Lise Dassieu Élise Develay Mathieu Roy Mathieu Roy Étienne Vachon-Presseau Étienne Vachon-Presseau Étienne Vachon-Presseau Sonia Lupien Sonia Lupien Pierre Rainville Pierre Rainville
author_facet	M. Gabrielle Pagé M. Gabrielle Pagé M. Gabrielle Pagé Lise Dassieu Élise Develay Mathieu Roy Mathieu Roy Étienne Vachon-Presseau Étienne Vachon-Presseau Étienne Vachon-Presseau Sonia Lupien Sonia Lupien Pierre Rainville Pierre Rainville
author_sort	M. Gabrielle Pagé
title	Stress and Pain Before, During and After the First Wave of the COVID-19 Pandemic: An Exploratory Longitudinal Mixed Methods Study
title_short	Stress and Pain Before, During and After the First Wave of the COVID-19 Pandemic: An Exploratory Longitudinal Mixed Methods Study
title_full	Stress and Pain Before, During and After the First Wave of the COVID-19 Pandemic: An Exploratory Longitudinal Mixed Methods Study
title_fullStr	Stress and Pain Before, During and After the First Wave of the COVID-19 Pandemic: An Exploratory Longitudinal Mixed Methods Study
title_full_unstemmed	Stress and Pain Before, During and After the First Wave of the COVID-19 Pandemic: An Exploratory Longitudinal Mixed Methods Study
title_sort	stress and pain before, during and after the first wave of the covid-19 pandemic: an exploratory longitudinal mixed methods study
publisher	Frontiers Media S.A.
publishDate	2021
url	https://doaj.org/article/8b2c61dae9154ba5ba814b1218c01ce8
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Stress and Pain Before, During and After the First Wave of the COVID-19 Pandemic: An Exploratory Longitudinal Mixed Methods Study

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