KMID : 0363120220350020209
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Korean Journal of Pain 2022 Volume.35 No. 2 p.209 ~ p.223
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Impact of coronavirus disease 2019 on patients with chronic pain: multicenter study in Korea
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John Hyun-Ji
Lim Yun-Hee Hong Sung-Jun Jeong Jae-Hun Choi Hey-Ran Park Sun-Kyung Kim Jung-Eun Kim Byung-Soo Kim Jae-Hun
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Abstract
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Background: The coronavirus disease 2019 (COVID-19) pandemic has caused significant changes. This study aimed to investigate the impact of COVID-19 on patients with chronic pain.
Methods: Patients with chronic pain from 23 university hospitals in South Korea participated in this study. The anonymous survey questionnaire consisted of 25 questions regarding the following: demographic data, diagnosis, hospital visit frequency, exercise duration, time outside, sleep duration, weight change, nervousness and anxiety, depression, interest or pleasure, fatigue, daily life difficulties, and self-harm thoughts. Depression severity was evaluated using the Patient Health Questionnaire-9 (PHQ-9). Logistic regression analysis was used to investigate the relationship between increased pain and patient factors.
Results: A total of 914 patients completed the survey, 35.9% of whom had decreased their number of visits to the hospital, mostly due to COVID-19. The pain level of 200 patients has worsened since the COVID-19 outbreak, which was more prominent in complex regional pain syndrome (CRPS). Noticeable post-COVID-19 changes such as exercise duration, time spent outside, sleep patterns, mood, and weight affected patients with chronic pain. Depression severity was more significant in patients with CRPS. The total PHQ-9 average score of patients with CRPS was 15.5, corresponding to major depressive orders. The patients¡¯ decreased exercise duration, decreased sleep duration, and increased depression were significantly associated with increased pain.
Conclusions: COVID-19 has caused several changes in patients with chronic pain. During the pandemic, decreased exercise and sleep duration and increased depression were associated with patients¡¯ increasing pain.
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KEYWORD
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Chronic Pain, Complex Regional Pain Syndrome, Coronavirus, COVID-19, Depression, Fatigue, Pandemics, Physical Distancing, Sleep, Social Isolation, Surveys and Questionnaires
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