Display options
Share it on

J Pain. 2021 Dec 13; doi: 10.1016/j.jpain.2021.11.012. Epub 2021 Dec 13.

Pediatric chronic pain in the midst of the COVID-19 pandemic: Lived experiences of youth and parents.

The journal of pain

Alexandra Neville, Tatiana Lund, Sabine Soltani, Abbie Jordan, Jennifer Stinson, Tieghan Killackey, Kathryn A Birnie, Melanie Noel

Affiliations

  1. University of Calgary, Department of Psychology, Calgary, AB, Canada; Alberta Children's Hospital Research Institute, Calgary, AB, Canada.
  2. Department of Psychology and Centre for Pain Research, University of Bath, United Kingdom.
  3. Lawrence S. Bloomberg Faculty of Nursing, University of Toronto and Research Institute Hospital for Sick Children, Toronto, ON, Canada.
  4. Alberta Children's Hospital Research Institute, Calgary, AB, Canada; University of Calgary, Department of Anesthesiology, Perioperative and Pain Medicine, and Department of Community Health Sciences, Calgary, AB.
  5. University of Calgary, Department of Psychology, Calgary, AB, Canada; Alberta Children's Hospital Research Institute, Calgary, AB, Canada; Hotchkiss Brain Institute, Canada. Electronic address: [email protected].

PMID: 34915200 PMCID: PMC8710941 DOI: 10.1016/j.jpain.2021.11.012

Abstract

During the coronavirus 2019 (COVID-19) pandemic youth with chronic pain have experienced additional barriers to accessing treatment and managing their pain. This study explored the experiences of youth with chronic pain and their parents during the COVID-19 pandemic. Individual semi-structured interviews were conducted with 20 youth with chronic pain (aged 13-20 years) and one of their parents, recruited from a tertiary level pediatric chronic pain program. Interviews occurred between the months of June-August 2020 and enabled participants to describe their experiences of the COVID-19 pandemic according to their own unique perspectives. Transcripts were analysed using inductive reflexive thematic analysis. Four themes were generated and labelled: 'temporality, mental health, and pain', 'coping with pain during a global pandemic', 'impact on care', and 're-appraisal in the context of development and pandemic life'. Across these themes, youth and parents described their unique challenges of living with pain as they adapted to changing circumstances of the COVID-19 pandemic. Notably, youth experienced increased difficulties managing their mental health and pain, which were intricately connected and related to social isolation, temporality, and uncertainty exacerbated by the COVID-19 pandemic. Restrictions due to the COVID-19 pandemic impacted youth's access to care and their abilities to engage in coping strategies to manage their pain. The COVID-19 pandemic was also perceived to have interrupted youth's development and growing autonomy, prompting youth to re-appraise their current circumstances and imagined futures. Perspective: This manuscript provides an in-depth understanding of the impact of the COVID-19 pandemic on youth with chronic pain and their parents. Youth and their parents perceived the COVID-19 pandemic to have impacted youth's mental health, pain, socio-emotional development, and access to care.

Copyright © 2021. Published by Elsevier Inc.

Keywords: COVID-19; Children; Pain; Parents; Pediatric

References

  1. J Biomed Inform. 2009 Apr;42(2):377-81 - PubMed
  2. J Pediatr Psychol. 2015 Oct;40(9):840-5 - PubMed
  3. Eur J Pain. 2008 Aug;12(6):765-74 - PubMed
  4. Pain Rep. 2020 Oct 27;5(6):e866 - PubMed
  5. J Dev Behav Pediatr. 2000 Feb;21(1):58-69 - PubMed
  6. Lancet Psychiatry. 2020 Jun;7(6):547-560 - PubMed
  7. Eur Child Adolesc Psychiatry. 2021 Jan;30(1):1-3 - PubMed
  8. Pain. 2020 Oct;161(10):2263-2273 - PubMed
  9. J Adolesc Health. 2021 Feb;68(2):262-269 - PubMed
  10. J Pediatr Psychol. 2021 Feb 19;46(2):219-230 - PubMed
  11. Best Pract Res Clin Anaesthesiol. 2020 Sep;34(3):529-537 - PubMed
  12. Clin J Pain. 2007 Jun;23(5):458-65 - PubMed
  13. Pain. 2020 May;161(5):1072-1082 - PubMed
  14. Eur J Pain. 2017 Sep;21(8):1301-1315 - PubMed
  15. Pediatrics. 2013 Aug;132(2):e422-9 - PubMed
  16. Clin J Pain. 2020 Dec;36(12):932-939 - PubMed
  17. Can J Pain. 2020 Aug 5;4(1):162-167 - PubMed
  18. Int J Environ Res Public Health. 2021 Jan 25;18(3): - PubMed
  19. Pain Res Manag. 2010 Jan-Feb;15(1):27-41 - PubMed
  20. Pain. 2021 Jul 1;162(7):2132-2144 - PubMed
  21. Pain Rep. 2018 Sep 11;3(Suppl 1):e678 - PubMed
  22. Pain. 2020 Apr;161(4):821-830 - PubMed
  23. Br J Clin Psychol. 1999 Sep;38(3):215-29 - PubMed
  24. Can J Anaesth. 2007 Dec;54(12):985-91 - PubMed
  25. Pain. 2009 Nov;146(1-2):15-7 - PubMed
  26. Pain. 2021 Jan;162(1):152-160 - PubMed
  27. Pain Rep. 2020 Nov 25;5(6):e871 - PubMed
  28. Pain Rep. 2018 Sep 11;3(Suppl 1):e667 - PubMed
  29. Pain Rep. 2021 Jun 03;6(2):e935 - PubMed
  30. Pain. 2016 Jun;157(6):1333-1338 - PubMed
  31. Pain. 2020 May;161(5):889-893 - PubMed
  32. Pain. 2004 Apr;108(3):221-229 - PubMed
  33. Pain. 2020 Aug;161(8):1694-1697 - PubMed
  34. Anaesthesia. 2020 Jul;75(7):935-944 - PubMed
  35. J Pain. 2019 Sep;20(9):1080-1090 - PubMed
  36. Pain Med. 2009 Sep;10(6):1018-34 - PubMed
  37. BMC Med Res Methodol. 2018 Nov 21;18(1):148 - PubMed

Publication Types