Pain, mental health and healthcare utilization: Impact of the <scp>COVID</scp>‐19 pandemic on youth with chronic pain, parents and siblings-Reference-Cited by-同舟云学术

Pain, mental health and healthcare utilization: Impact of the COVID‐19 pandemic on youth with chronic pain, parents and siblings

Published:2023-07-12 Issue:10 Volume:27 Page:1249-1265
ISSN:1090-3801
Container-title:European Journal of Pain
language:en
Short-container-title:European Journal of Pain

Author:

Soltani Sabine¹,Killackey Tieghan²,Birnie Kathryn A.³⁴,Brennenstuhl Sarah⁵,Kopala‐Sibley Daniel C.⁶⁷,Choiniere Manon⁸⁹,Pagé M. Gabrielle⁸¹⁰,Dassieu Lise⁹¹¹,Lacasse Anaïs¹²,Lalloo Chitra²¹³,Poulin Patricia¹⁴¹⁵¹⁶,Ingelmo Pablo¹⁷,Ali Samina¹⁸¹⁹,Battaglia Marco²⁰²¹,Campbell Fiona²²,Smith Andrew²³,Benayon Myles²⁴,Jordan Isabel²⁵,Marianayagam Justina²⁶,Harris Lauren²,Mohabir Vina²,Stinson Jennifer²⁵,Noel Melanie⁷²⁷,

Affiliation:

1. Department of Psychology University of Calgary Calgary Alberta Canada

2. Child Health Evaluative Sciences The Hospital for Sick Children Toronto Ontario Canada

3. Department of Anesthesiology, Perioperative, and Pain Medicine University of Calgary Calgary Alberta Canada

4. Department of Community Health Sciences Alberta Children's Hospital Research Institute Calgary Alberta Canada

5. Lawrence S. Bloomberg Faculty of Nursing University of Toronto Toronto Ontario Canada

6. Department of Psychiatry University of Calgary, Alberta Children's Hospital Research Institute Calgary Alberta Canada

7. Mathison Centre for Mental Health Research & Education Hotchkiss Brain Institute Calgary Alberta Canada

8. Department of Anesthesiology and Pain Medicine, Faculty of Medicine Université de Montréal Montreal Quebec Canada

9. Research Center of the Centre Hospitalier de l'Université de Montréal Montreal Quebec Canada

10. Department of Psychology Research Center of the Centre Hospitalier de l'Université de Montréal Montreal Quebec Canada

11. Department of Biomedical Sciences Université de Montréal Montreal Quebec Canada

12. Department of Health Sciences Université du Québec en Abitibi‐Témiscamingue Rouyn‐Noranda Quebec Canada

13. Institute of Health Policy, Management & Evaluation University of Toronto Toronto Ontario Canada

14. Department of Anesthesiology & Pain Medicine University of Ottawa Ottawa Ontario Canada

15. Department of Psychology The Ottawa Hospital Ottawa Ontario Canada

16. The Ottawa Hospital Research Institute Ottawa Ontario Canada

17. Anesthesia and Chronic Pain Management Montreal Children's Hospital Montreal Quebec Canada

18. Departments of Pediatrics & Emergency Medicine, Faculty of Medicine & Dentistry University of Alberta Edmonton Alberta Canada

19. Women and Children's Health Research Institute University of Alberta Edmonton Alberta Canada

20. Department of Psychiatry University of Toronto Toronto Ontario Canada

21. CYEA Programme Centre for Addiction and Mental Health Toronto Ontario Canada

22. Department of Anesthesia and Pain Medicine University of Toronto, Hospital for Sick Children Toronto Ontario Canada

23. Centre for Addiction and Mental Health Toronto Ontario Canada

24. Internal Medicine Residency Program McMaster University Hamilton Ontario Canada

25. Parent Partner British Columbia Squamish Canada

26. Northern Ontario School of Medicine Sudbury Ontario Canada

27. Department of Psychology University of Calgary, Alberta Children's Hospital Research Institute Calgary Alberta Canada

Abstract

AbstractBackgroundPaediatric chronic pain was a public health emergency before the novel coronavirus (COVID‐19) pandemic, and this problem is predicted to escalate. Pain tends to occur intergenerationally in families, and youth with chronic pain and their parents have high rates of mental health issues, which can further exacerbate pain. Siblings of youth with chronic pain have been largely overlooked in research, as well as the impact of the pandemic on posttraumatic stress disorder (PTSD) symptoms and healthcare utilization.MethodsThis cross‐sectional study examined pain, mental health and healthcare utilization in three groups: youth with chronic pain (n = 357), parents of youth with chronic pain (n = 233) and siblings of youth with chronic pain (n = 156) during the COVID‐19 pandemic in Canada.ResultsMore so than with pain symptoms, the results revealed high levels of mental health symptoms (i.e. anxiety, depressive, and PTSD), particularly in individuals more personally impacted by the pandemic. The largest effect was seen on PTSD symptoms for all groups. For parents with chronic pain, greater personal COVID‐19 impact was related to worse pain interference. Reported rates of healthcare utilization were strikingly high, with youth with chronic pain, parents (reporting on behalf of their children with chronic pain), and siblings of youth with chronic pain reporting that most consultations were due to pain.ConclusionsLongitudinal research assessing these outcomes across continued waves of the pandemic is needed to ensure timely, tailored and equitable access to pain and mental health assessment and treatment.SignificanceThis study examined pain, mental health, substance use and healthcare utilization in youth with chronic pain, siblings and parents during the COVID‐19 pandemic. Greater personal impact of the pandemic was not largely associated with poorer pain outcomes; however, it was associated with mental health, with the largest effect on PTSD symptoms. The high rates and significant association of COVID‐19 impact with PTSD symptoms underscore the importance of including PTSD assessment as part of routine screening practices in pain clinics.

Publisher

Wiley

Subject

Anesthesiology and Pain Medicine

Link

https://onlinelibrary.wiley.com/doi/pdf/10.1002/ejp.2157

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