The social threats of COVID-19 for people with chronic pain
| Autor: | Kai Karos, Joanna L. McParland, Claire E. Ashton-James, Flavia P. Kapos, Hemakumar Devan, David J. Moore, Edmund Keogh, Samantha Bunzli, Adam T. Hirsh, Lincoln M. Tracy |
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| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Social Determinants of Health
Chronic Pain/physiopathology Social Environment Health Services Accessibility 0302 clinical medicine DISPARITIES 030202 anesthesiology Agency (sociology) Social isolation Pandemics/prevention & control PREDICTORS ASSOCIATIONS Chronic pain Loneliness Resilience Psychological Viral/epidemiology Telemedicine PREVALENCE Neurology Social Isolation Social system Disease Progression Chronic Pain medicine.symptom Coronavirus Infections Psychology Social psychology Pneumonia Viral Clinical Neurology BF Public Policy 03 medical and health sciences Betacoronavirus DISTRESS Social Justice medicine Humans Pain Management Social determinants of health Topical Review Pandemics Pneumonia Viral/epidemiology WORLD BELIEFS CONSEQUENCES Resilience SARS-CoV-2 DISABILITY Social change Role Social environment COVID-19 Pneumonia medicine.disease Coronavirus Anesthesiology and Pain Medicine Socioeconomic Factors Communicable Disease Control HEALTH-CARE Pain Clinics Psychological Coronavirus Infections/epidemiology Neurology (clinical) Delivery of Health Care LONELINESS 030217 neurology & neurosurgery |
| Zdroj: | Karos, K, McParland, J, Bunzli, S, Devan, H, Hirsh, A, Kapos, F, Keogh, E, Moore, D, Tracy, L & Ashton-James, C 2020, ' The social threats of COVID-19 for people with chronic pain ', Pain, vol. 161, no. 10, pp. 2229-2235 . https://doi.org/10.1097/j.pain.0000000000002004 Karos, K, McParland, J L, Bunzli, S, Devan, H, Hirsh, A, Kapos, F P, Keogh, E, Moore, D, Tracy, L M & Ashton-James, C E 2020, ' The social threats of COVID-19 for people with chronic pain ', Pain, vol. 161, no. 10, pp. 2229-2235 . https://doi.org/10.1097/j.pain.0000000000002004 Pain |
| ISSN: | 0304-3959 |
| DOI: | 10.1097/j.pain.0000000000002004 |
| Popis: | The COVID-19 (SARS-CoV-2) pandemic has changed the social environment in which people live and work, as well as the social systems they rely on.39,88 To contain the spread of coronavirus and to prepare for a dramatic increase in demand for limited hospital/medical facilities and resources, societies have enforced physical distancing measures. Consequently, there have been limitations on the use of public transportation, public spaces, and work, education, and recreational facilities. Furthermore, access to vital, but nonurgent, healthcare services (including pain management services) has been restricted. These changes have affected the way people connect with each other, manage their health and wellbeing, and fulfil their social roles. For some, these changes may present opportunities (eg, increased time with family, normalisation of flexible working, and reduced demand for travel). For others, however, these social changes can also represent significant threats to health and wellbeing. The negative impact of social changes prompted by the COVID-19 crisis may disproportionately affect individuals living with long-term painful conditions. Living with chronic pain can threaten an individuals' fundamental social needs for autonomy (agency or independence), belonging (social connection), and justice (fairness). In turn, for some, experiencing heightened social threat can maintain and exacerbate chronic pain.48 In this review, we draw attention to the potential for social and systemic changes associated with attempts to contain the spread of COVID-19 to precipitate, maintain, and exacerbate pain by increasing the social threats faced by individuals with chronic pain (Fig. (Fig.1).1). We also suggest strategies for mitigating the social impact of COVID-19 on those living with chronic pain, for instance by learning from the resilience demonstrated by people in pain who have found ways to deal with social threat. Finally, we suggest several time-critical, high-impact research questions for further investigation (Fig. 1). Open in a separate window Figure 1. Schematic representation of how the COVID 19 pandemic (A) exacerbates existing levels of social threat (B), thereby inducing several social challenges (C) for people with chronic pain, and ultimately increasing the risk for the development, maintenance, and exacerbation of chronic pain complaints (D). Possible protecting processes and interventions countering the effects of the pandemic are portrayed as well (E). |
| Databáze: | OpenAIRE |
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