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Chronic pain and COVID-19: The association of delay discounting with perceived stress and pain severity.
Craft, William H; Tegge, Allison N; Bickel, Warren K.
  • Craft WH; Graduate Program in Translational Biology, Medicine, and Health, Virginia Polytechnic and State University.
  • Tegge AN; Fralin Biomedical Research Institute at Virginia Tech Carilion, Virginia Polytechnic and State University.
  • Bickel WK; Fralin Biomedical Research Institute at Virginia Tech Carilion, Virginia Polytechnic and State University.
Exp Clin Psychopharmacol ; 30(5): 692-700, 2022 Oct.
Article in English | MEDLINE | ID: covidwho-1281676
ABSTRACT
The coronavirus disease pandemic of 2019 (COVID-19) is a worldwide threat to public health that has significantly affected the United States. The pandemic poses a variety of health risks including stressful disruptions in social and economic activity. Understanding the pandemic's effects on already vulnerable populations, such as individuals with chronic pain, may inform healthcare preparation for future catastrophic events. Given the association between excessive discounting of delayed rewards and chronic pain, this study examined relationships between delay discounting, pain severity, and COVID-19 perceived stress in individuals with chronic pain. Individuals reporting chronic pain (N = 180; 41% female; 86% white; 59% with a college degree) were recruited via the Amazon Mechanical Turk platform in this cross-sectional study. Measures of pain severity, delay discounting, probability discounting, and COVID-19 perceived stress were collected. Delay discounting was a significant predictor of overall pain severity (p < .02) and COVID-19 perceived stress (p < .001). Also, the magnitude of COVID-19 perceived stress fully mediated the relationship between delay discounting and overall pain severity (p = .004). Probability discounting was not a significant predictor of pain severity or COVID-19 perceived stress (p > .05). These findings highlight the importance of excessive discounting of delayed rewards as a potential determinant of pain severity as well as predictor of perceived stress related to the COVID-19 pandemic. Thus, the discounting of delayed rewards is of particular therapeutic importance for individuals with chronic pain in the context of stressful events. (PsycInfo Database Record (c) 2022 APA, all rights reserved).
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Chronic Pain / Delay Discounting / COVID-19 Type of study: Observational study / Prognostic study / Randomized controlled trials Limits: Female / Humans / Male Language: English Journal: Exp Clin Psychopharmacol Journal subject: Psychopharmacology Year: 2022 Document Type: Article

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Chronic Pain / Delay Discounting / COVID-19 Type of study: Observational study / Prognostic study / Randomized controlled trials Limits: Female / Humans / Male Language: English Journal: Exp Clin Psychopharmacol Journal subject: Psychopharmacology Year: 2022 Document Type: Article