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Evaluating the Relationship Between Depression and Pain Anxiety with Pain Catastrophizing in Patients with COVID-19
Mahshid Ghasemi1, Faranak Behnaz2, Nima Hassanzad3
1Anesthesiology Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Insights
Pain catastrophizing dimensions like rumination, magnification, and helplessness significantly predict pain anxiety and depression in COVID-19 patients. These psychological factors are crucial for understanding patient well-being during the pandemic.
Area of Science:
- Psychology
- Medical Research
- Public Health
Background:
- Investigated the psychological impact of coronavirus disease 2019 (COVID-19) on patients.
- Focused on the interplay between depression, pain anxiety, and pain catastrophizing.
- Addressed a critical need to understand mental health comorbidities in COVID-19 survivors.
Purpose of the Study:
- To examine the relationship between depression and pain anxiety with pain catastrophizing.
- To identify specific dimensions of pain catastrophizing that influence psychological distress.
- To provide insights for targeted psychological interventions in COVID-19 patients.
Main Methods:
- Descriptive, correlational study design.
- Inclusion of 180 COVID-19 patients from Iranian hospitals.
- Utilized validated questionnaires: Pain Catastrophizing Scale (PCS), Pain Anxiety Symptoms Scale (PASS), and Beck's Depression Inventory (BDI).
- Statistical analysis included Pearson correlation and multivariate regression.
Main Results:
- Significant positive relationships were found between pain catastrophizing dimensions (rumination, magnification, helplessness) and total pain catastrophizing scores.
- Moderate to severe dimensions of pain catastrophizing were associated with increased pain anxiety and depression.
- Pain catastrophizing dimensions significantly predicted both pain anxiety and depression.
Conclusions:
- Rumination, magnification, and helplessness dimensions of pain catastrophizing are significant predictors of pain anxiety (explaining 15.1% of variance).
- These dimensions also significantly predict depression in COVID-19 patients (explaining 13.6% of variance).
- Highlights the importance of addressing pain catastrophizing in managing psychological distress among COVID-19 patients.
Background:
This study aimed to investigate the relationship between depression and pain anxiety with pain catastrophizing in patients with coronavirus disease 2019 (COVID-19).
Methods:
In this descriptive, correlational study, 180 patients with COVID-19 in Akhtar and Imam Hossein hospitals in Tehran, Iran, were included from March 2019 to April 2020. All participants completed three questionnaires, including the Pain Catastrophizing Scale (PCS), Pain Anxiety Symptoms Scale (PASS), and Beck's Depression Inventory (BDI). The data were analyzed using Pearson correlation coefficient and multivariate regression.
Results:
There was a positive and significant relationship between the dimensions of rumination, magnification, and helplessness with total score of pain catastrophizing, as well as moderate to severe dimensions with total pain anxiety and depression in patients with COVID-19.
Conclusions:
According to the results of regression analysis, pain anxiety based on pain catastrophizing dimensions was statistically significant, so that rumination, magnification, and helplessness could predict pain anxiety and explain a total of 15.1% of changes in pain anxiety. Also, depression was statistically significant based on dimensions of pain catastrophizing, so rumination, magnification, and helplessness could predict the patients' depression and explain 13.6% of depression changes.
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