The Impact of the COVID-19 Pandemic on Youth with Chronic Pain and Their Parents: A Longitudinal Examination of Who Are Most at Risk

Objectives: Chronic pain and mental illness in youth and parents are poised to reach new heights amidst the societal and healthcare impacts of the COVID-19 pandemic. Evidence from natural disasters (i.e., hurricanes) suggests that a degree of personal impact and individual personality may moderate t...

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Main Authors: Kathryn A. Birnie, Daniel C. Kopala-Sibley, Maria Pavlova, Cara G. Nania, Emily Bernier, Jennifer N. Stinson, Melanie Noel
Format: Article
Language:English
Published: MDPI AG 2022-05-01
Series:Children
Subjects:
Online Access:https://www.mdpi.com/2227-9067/9/5/745
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author Kathryn A. Birnie
Daniel C. Kopala-Sibley
Maria Pavlova
Cara G. Nania
Emily Bernier
Jennifer N. Stinson
Melanie Noel
author_facet Kathryn A. Birnie
Daniel C. Kopala-Sibley
Maria Pavlova
Cara G. Nania
Emily Bernier
Jennifer N. Stinson
Melanie Noel
author_sort Kathryn A. Birnie
collection DOAJ
description Objectives: Chronic pain and mental illness in youth and parents are poised to reach new heights amidst the societal and healthcare impacts of the COVID-19 pandemic. Evidence from natural disasters (i.e., hurricanes) suggests that a degree of personal impact and individual personality may moderate the effects of high stress events, such as the COVID-19 pandemic, on mental health. Methods: In a pre-existing cohort of 84 youth with chronic pain (<i>M</i><sub>age</sub> = 14.39; 12–18 years; 67.8% female) and 90 parents (86.7% female), we examined changes in youth pain interference and youth and parent mental health (depression, anxiety) from before to during the first wave of the COVID-19 pandemic, and the influence of personal impact of the pandemic (i.e., financial, familial, health, social, occupational, and educational domains) and individual personality (neuroticism, conscientiousness, extroversion). Results: Overall, youth reported significantly lower pain interference and anxiety as compared to pre-pandemic; however, those more personally impacted by the pandemic reported worsening pain interference and anxiety symptoms. Overall, parents reported greater depressive symptoms as compared to pre-pandemic; however, those more personally impacted by the pandemic reported increased anxiety symptoms. Personality traits (high neuroticism, and low conscientiousness and extroversion) predicted worsened pain and mental health, and exacerbated effects of COVID-19-related personal impact on youth and parent anxiety symptoms. Discussion: Identifying risk and resilience profiles in youth and parents at high risk for worsening pain and mental health may better inform matching interventions to individual need.
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spelling doaj.art-4b3f2b136ce04beb8cd36e4db7bac9982023-11-23T10:31:45ZengMDPI AGChildren2227-90672022-05-019574510.3390/children9050745The Impact of the COVID-19 Pandemic on Youth with Chronic Pain and Their Parents: A Longitudinal Examination of Who Are Most at RiskKathryn A. Birnie0Daniel C. Kopala-Sibley1Maria Pavlova2Cara G. Nania3Emily Bernier4Jennifer N. Stinson5Melanie Noel6Department of Anesthesiology, Perioperative, and Pain Medicine, Alberta Children’s Hospital Research Institute, University of Calgary, Calgary, AB T2N 4N1, CanadaAlberta Children’s Hospital Research Institute, University of Calgary, Calgary, AB T2N 1N4, CanadaDepartment of Psychology, University of Calgary, Calgary, AB T2N 1N4, CanadaDepartment of Psychology, University of Calgary, Calgary, AB T2N 1N4, CanadaDepartment of Psychiatry, University of Calgary, Calgary, AB T2N 1N4, CanadaChild Health Evaluative Sciences, Research Institute, The Hospital for Sick Children, Toronto, ON M5G 1X8, CanadaAlberta Children’s Hospital Research Institute, University of Calgary, Calgary, AB T2N 1N4, CanadaObjectives: Chronic pain and mental illness in youth and parents are poised to reach new heights amidst the societal and healthcare impacts of the COVID-19 pandemic. Evidence from natural disasters (i.e., hurricanes) suggests that a degree of personal impact and individual personality may moderate the effects of high stress events, such as the COVID-19 pandemic, on mental health. Methods: In a pre-existing cohort of 84 youth with chronic pain (<i>M</i><sub>age</sub> = 14.39; 12–18 years; 67.8% female) and 90 parents (86.7% female), we examined changes in youth pain interference and youth and parent mental health (depression, anxiety) from before to during the first wave of the COVID-19 pandemic, and the influence of personal impact of the pandemic (i.e., financial, familial, health, social, occupational, and educational domains) and individual personality (neuroticism, conscientiousness, extroversion). Results: Overall, youth reported significantly lower pain interference and anxiety as compared to pre-pandemic; however, those more personally impacted by the pandemic reported worsening pain interference and anxiety symptoms. Overall, parents reported greater depressive symptoms as compared to pre-pandemic; however, those more personally impacted by the pandemic reported increased anxiety symptoms. Personality traits (high neuroticism, and low conscientiousness and extroversion) predicted worsened pain and mental health, and exacerbated effects of COVID-19-related personal impact on youth and parent anxiety symptoms. Discussion: Identifying risk and resilience profiles in youth and parents at high risk for worsening pain and mental health may better inform matching interventions to individual need.https://www.mdpi.com/2227-9067/9/5/745chronic painCOVID-19 pandemicyouthparentsmental healthpersonality
spellingShingle Kathryn A. Birnie
Daniel C. Kopala-Sibley
Maria Pavlova
Cara G. Nania
Emily Bernier
Jennifer N. Stinson
Melanie Noel
The Impact of the COVID-19 Pandemic on Youth with Chronic Pain and Their Parents: A Longitudinal Examination of Who Are Most at Risk
Children
chronic pain
COVID-19 pandemic
youth
parents
mental health
personality
title The Impact of the COVID-19 Pandemic on Youth with Chronic Pain and Their Parents: A Longitudinal Examination of Who Are Most at Risk
title_full The Impact of the COVID-19 Pandemic on Youth with Chronic Pain and Their Parents: A Longitudinal Examination of Who Are Most at Risk
title_fullStr The Impact of the COVID-19 Pandemic on Youth with Chronic Pain and Their Parents: A Longitudinal Examination of Who Are Most at Risk
title_full_unstemmed The Impact of the COVID-19 Pandemic on Youth with Chronic Pain and Their Parents: A Longitudinal Examination of Who Are Most at Risk
title_short The Impact of the COVID-19 Pandemic on Youth with Chronic Pain and Their Parents: A Longitudinal Examination of Who Are Most at Risk
title_sort impact of the covid 19 pandemic on youth with chronic pain and their parents a longitudinal examination of who are most at risk
topic chronic pain
COVID-19 pandemic
youth
parents
mental health
personality
url https://www.mdpi.com/2227-9067/9/5/745
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