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. - 2025
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.
Saint Martin Ouss 2025 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.pdf
[en] [en] 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 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.
Disciplines :
Psychiatry
Author, co-author :
Saint-Martin, Hélène; Department of Aging Psychiatry, Le Vinatier Hospital Center, 95 Boulevard Pinel, Bron, 69500, France. helene.saint-martin@ch-le-vinatier.fr ; INSERM, U1219, ACTIVE Team, Bordeaux Population Health Center, University of Bordeaux, Bordeaux, France. helene.saint-martin@ch-le-vinatier.fr
Dorey, Jean-Michel; Department of Aging Psychiatry, Le Vinatier Hospital Center, 95 Boulevard Pinel, Bron, 69500, France
Herrmann, Mathieu; Department of Aging Psychiatry, Le Vinatier Hospital Center, 95 Boulevard Pinel, Bron, 69500, France
Laurent, Bernard; Memory Clinical and Research Center of Saint-Etienne, University Hospital of Saint-Etienne, Saint-Etienne, France ; INSERM, U1028, CNRS, UMR 5292, Neuropain Team, Lyon Neuroscience Research Center, Lyon, France
Lebrun-Givois, Cécile; Memory Clinical and Research Center of Saint-Etienne, University Hospital of Saint-Etienne, Saint-Etienne, France
Perrot, Catherine; Memory Clinical and Research Center of Saint-Etienne, University Hospital of Saint-Etienne, Saint-Etienne, France
Edjolo, Arlette; Memory Clinical and Research Center of Saint-Etienne, University Hospital of Saint-Etienne, Saint-Etienne, France
Ouss, Lisa ; Université de Liège - ULiège > Département des sciences cliniques > Psychiatrie infanto-juvénile ; Department of Child and Adolescent Psychiatry, APHP Necker Hospital, Paris, France
Pongan, Elodie; Memory Clinical and Research Center of Saint-Etienne, University Hospital of Saint-Etienne, Saint-Etienne, France ; Memory Clinical and Research Center of Lyon, Hospices Civils de Lyon, Charpennes Hospital, Villeurbanne, France
Rouch, Isabelle; INSERM, U1219, ACTIVE Team, Bordeaux Population Health Center, University of Bordeaux, Bordeaux, France ; Memory Clinical and Research Center of Saint-Etienne, University Hospital of Saint-Etienne, Saint-Etienne, France
Language :
English
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.
The STERACOVID study is funded by the non-profit APICIL Foundation. The funds were allocated after the evaluation of several scientific experts and the deliberation of the scientific council of APICIL Foundation. Yet APICIL Foundation has no role or authority in the design or conduct of the study neither in the collection, analysis, interpretation of the data; preparation, review, or approval of the manuscript; or the decision to submit the manuscript for publication.
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