Full title: Chronic pain and post-traumatic stress in older patients with psychiatric disorders during the Covid-19 pandemic: co-occurrence and influence of attachment and personality factors
Objectives The Covid-19 pandemic context may have had numerous effects on the health of older patients with psychiatric disorders (PD), confronting them with a new source of stress and hindering their access to care. The aim of this study was to assess the long-term effects of the pandemic on...
The Covid-19 pandemic context may have had numerous effects on the health of older patients with psychiatric disorders (PD), confronting them with a new source of stress and hindering their access to care. The aim of this study was to assess the long-term effects of the pandemic on both chronic pain (CP) and post-traumatic stress (PTS); the comorbidity of the two disorders; and to identify common psychological risk factors.
Design
Medical interviews were conducted during and after (12 and 18 months later) the first lockdown.
Setting
The STERACOVID longitudinal cohort study, conducted in two French hospitals.
Participants
71 patients aged 65 or over; treated in an outpatient psychiatric service; and free of major neurocognitive disorders.
Measurements
Validated scales were used to assess CP (ICD-11 criteria); PTS (PCL-S); personality traits (BFI-Fr); attachment style (RSQ); and coping strategies (BRIEF-COPE). χ² and Student’s t-tests, analyses of variance and logistic regression were used to compare patients with or without CP and/or PTS, in terms of attachment styles, personality traits and coping strategies.
Results
CP and PTS were frequent and often co-occurring at T2. Fearful and preoccupied attachment styles and neurotic and extraverted personality traits were associated with the development of these two disorders; while coping strategies were not determinant.
Conclusions
Our study identified factors associated with a higher risk of developing CP and/or PTS in the pandemic context. Assessment of attachment style and personality traits in clinical routine could help identify patients who are most vulnerable to this type of stress, and prevent the development of disabling chronic conditions.
I was listening to BBC woman's hour and was appalled at the Nonplacebo, targeting women who are influenced by information given about the treatment researched. It seems to me they have little to no understanding of research, women's bodies, pain or healthcare in general.
Anyone thought about how treatments impact on the gut etc. Or the fact the placebo impact on the noplacebo. Or is it just a way of taking information away from the patient.
The nocebo effect refers to adverse events caused by negative expectations and learning processes that influence pain perception. This phenomenon involves changes in descending pain pathways and hi…
I haven't read the paper. Life is too short. You'd think work based on fishing and correlation would simply not get published in 2025. Nor get passed an ethics committee. Perhaps if sensible patients and patient charity representatives were co-opted routinely into study design and ethics boards this kinda cheap research would cease. Or at least focus on issues with face validity.
"....CP have an increased risk of developing sleep disorders, anxiety or depression, or even suicidal thoughts..."
I cannot get passed this. Sleep disorders are ubiquitous in chronic pain...... it is not something they have increased risk of, it's part of it.....
Most patients with pain are understandably demoralised and pissed off. Some are depressed and anxious but we don’t 'diagnose' or pontificate about this from a questionnaire..... Not serious.
As for suicidal thoughts, that's commonplace in people under strain. Understandably so. Being in pain can be a massive stressor, especially if the patient is misunderstood and has few supports.
The way its written here just begars belief. As if the authors simply don't understand their patients situations. Seriously, all they need is a functioning pair of ears.
Assessment of attachment style and personality traits in clinical routine could help identify patients who are most vulnerable to this type of stress, and prevent the development of disabling chronic conditions.
This is fantasy. And weird. Why are humans so damn weird all the damn time?!
You go back a century and silly people were putting smiley face masks on sick people to cheer them up. Nothing's really changed since. The undying belief that when you can't fix a problem, just make it an attitude problem and everything will go well is so damn ridiculous. Nothing works like this, nothing has ever worked like this.
This site uses cookies to help personalise content, tailor your experience and to keep you logged in if you register.
By continuing to use this site, you are consenting to our use of cookies.
bmcgeriatr.biomedcentral.com
