The Structure of Stress Experiences in Patients in the Lumbar Spine Pain Syndrome during the COVID-19 Epidemic in Poland
DOI:
https://doi.org/10.15225/PNN.2021.10.3.2Keywords
COVID-19, gender, stressAbstract
Introduction. The rapid transmission of the SARS-CoV-2 coronavirus has prompted government officials from many countries around the world to introduce severe epidemic restrictions to reduce the risk of developing coronavirus disease (COVID-19). However, apart from the necessity to protect somatic health, it turned out in a relatively short time that the pandemic also posed a serious threat to the mental functioning of many people.
Aim. The aim of the study is assessing the structure of stressful experiences of women and men in the pain syndrome of the lumbar spine during the COVID-19 epidemic in Poland.
Material and Methods. The study sample consists of 102 patients hospitalized in the Department of Neurosurgery and Pediatric Neurosurgery of the Independent Public Clinical Hospital No. 4 in Lublin. The first group is women, the second is men. The research used the KPS Questionnaire and a proprietary questionnaire. Statistical analyses were carried out using the IBM SPSS 25 program using the two-factor analysis of variance in the mixed schema included in the multivariate OML model.
Results. In the group of women, 49.0% of patients feel high stress, 31.4% — moderate, and 19.6% — low. In the male population, 37.3% of the respondents exhibited high stress, 51.0% — average and 11.7% — low. Women exhibit lower emotional tension but higher external stress than men. In addition, the patients have the highest emotional tension and external stress, and the lowest — intrapsychic stress. In men, emotional tension dominates, next is external stress, and intrapsychic stress is significantly lower than them.
Conclusions. The obtained data suggest that when designing interventions supporting the mental functioning of this group of patients, consideration should be given to taking into account individual differences identified in the studies. (JNNN 2021;10(3):96–104)
References
Fiani B., Siddiqi I., Lee S.C., Dhillon L. Telerehabilitation: Development, Application, and Need for Increased Usage in the COVID-19 Era for Patients with Spinal Pathology. Cureus. 2020;12(9):e10563.
Talevi D., Socci V., Carai M. et al. Mental health outcomes of the CoViD-19 pandemic. Riv Psichiatr. 2020;55(3):137–144.
World Health Organization. WHO Coronavirus (COVID-19) Dashboard. Retrieved January 5, 2021, from https://covid19.who.int/
Loades M.E., Chatburn E., Higson-Sweeney N. et al. Rapid Systematic Review: The Impact of Social Isolation and Loneliness on the Mental Health of Children and Adolescents in the Context of COVID-19. J Am Acad Child Adolesc Psychiatry. 2020;59(11):1218–1239.e3.
Altena E., Baglioni C., Espie C.A. et al. Dealing with sleep problems during home confinement due to the COVID-19 outbreak: Practical recommendations from a task force of the European CBT-I Academy. J Sleep Res. 2020;29(4):e13052.
Tsamakis K., Rizos E., Manolis A.J. et al. COVID-19 pandemic and its impact on mental health of healthcare professionals. Exp Ther Med. 2020;19(6):3451–3453.
Chevance A., Gourion D., Hoertel N. et al. Ensuring mental health care during the SARS-CoV-2 epidemic in France: A narrative review. Encephale. 2020;46(3):193–201.
Lazarus R.S., Folkman S. Stress, Appraisal, and Coping. Springer Publishing Company, New York 1984.
Kar N., Kar B., Kar S. Stress and coping during COVID-19 pandemic: Result of an online survey. Psychiatry Res. 2021;295:113598.
Wang C., Pan R., Wan X. et al. A longitudinal study on the mental health of general population during the COVID-19 epidemic in China. Brain Behav Immun. 2020;87:40–48.
Moccia L., Janiri D., Pepe M. et al. Affective temperament, attachment style, and the psychological impact of the COVID-19 outbreak: an early report on the Italian general population. Brain Behav Immun. 2020;87:75–79.
Jahanshahi A.A., Dinani M.M., Madavani A.N., Li J., Zhang S.X. The distress of Iranian adults during the Covid-19 pandemic — More distressed than the Chinese and with different predictors. Brain Behav Immun. 2020;87:124–125.
Hao F., Tan W., Jiang L. et al. Do psychiatric patients experience more psychiatric symptoms during COVID-19 pandemic and lockdown? A case-control study with service and research implications for immunopsychiatry. Brain Behav Immun. 2020;87:100–106.
Shigemura J., Ursano R.J., Morganstein J.C., Kurosawa M., Benedek D.M. Public responses to the novel 2019 coronavirus (2019-nCoV) in Japan: Mental health consequences and target populations. Psychiatry Clin Neurosci. 2020;74(4):281–282.
Vindegaard N., Benros M.E. COVID-19 pandemic and mental health consequences: Systematic review of the current evidence. Brain Behav Immun. 2020;89:531–542.
Zandifar A., Badrfam R. Iranian mental health during the COVID-19 epidemic. Asian J Psychiatr. 2020;51:101990.
Troyer E.A., Kohn J.N., Hong S. Are we facing a crashing wave of neuropsychiatric sequelae of COVID-19? Neuropsychiatric symptoms and potential immunologic mechanisms. Brain Behav Immun. 2020;87:34–39.
Mamun M.A., Ullah I. COVID-19 suicides in Pakistan, dying off not COVID-19 fear but poverty? — The forthcoming economic challenges for a developing country. Brain Behav Immun. 2020;87:163–166.
Pappa S., Ntella V., Giannakas T., Giannakoulis V.G., Papoutsi E., Katsaounou P. Prevalence of depression, anxiety, and insomnia among healthcare workers during the COVID-19 pandemic: A systematic review and meta-analysis. Brain Behav Immun. 2020;88:901–907.
Rajkumar R.P. COVID-19 and mental health: A review of the existing literature. Asian J Psychiatr. 2020;52:102066.
Bohlken J., Schömig F., Lemke M.R., Pumberger M., Riedel-Heller S.G. [COVID-19 Pandemic: Stress Experience of Healthcare Workers — A Short Current Review]. Psychiatr Prax. 2020;47(4):190–197.
Bodecka M., Nowakowska I., Zajenkowska A., Rajchert J., Kaźmierczak I., Jelonkiewicz I. Gender as a moderator between Present-Hedonistic time perspective and depressive symptoms or stress during COVID-19 lock-down. Pers Individ Dif. 2021;168:110395.
Bartoszek A., Walkowiak D., Bartoszek A., Kardas G. Mental Well-Being (Depression, Loneliness, Insomnia, Daily Life Fatigue) during COVID-19 Related Home-Confinement-A Study from Poland. Int J Environ Res Public Health. 2020;17(20):7417.
El-Zoghby S.M., Soltan E.M., Salama H.M. Impact of the COVID-19 Pandemic on Mental Health and Social Support among Adult Egyptians. J Community Health. 2020;45(4):689–695.
Bao Y., Sun Y., Meng S., Shi J., Lu L. 2019-nCoV epidemic: address mental health care to empower society. Lancet. 2020;395(10224):e37–e38.
Depa A., Drużbicki M. Ocena częstości występowania zespołów bólowych lędźwiowego odcinka kręgosłupa w zależności od charakteru wykonywanej pracy. Prz Med Uniw Rzesz. 2008;1:34–41.
Balasubramanya R., Selvarajan S.K. Lumbar Spine Imaging. Retrieved January 18, 2021, from https://www.ncbi.nlm.nih.gov/books/NBK553181/
Xu J., Ding X., Wu J. et al. A randomized controlled study for the treatment of middle-aged and old-aged lumbar disc herniation by Shis spine balance manipulation combined with bone and muscle guidance. Medicine (Baltimore). 2020;99(51):e23812.
Pilśniak J., Ślusarz R. Epidemiology of Traumatic Brain Injuries in its Own Material of Emergency Service Rypin: A Retrospective Study. J Neurol Neurosurg Nurs. 2013;2(1):4–8.
Riley S.P., Swanson B.T., Cleland J.A. The why, where, and how clinical reasoning model for the evaluation and treatment of patients with low back pain. Braz J Phys Ther. 2021;25(4):407–414.
Willems P. Decision making in surgical treatment of chronic low back pain: the performance of prognostic tests to select patients for lumbar spinal fusion. Acta Orthop Suppl. 2013;84(349):1–35.
Markman J.D., Czerniecka-Foxx K., Khalsa P.S. et al. AAPT Diagnostic Criteria for Chronic Low Back Pain. J Pain. 2020;21(11–12):1138–1148.
Fillingim R.B., Bruehl S., Dworkin R.H. et al. The ACTTION-American Pain Society Pain Taxonomy (AAPT): an evidence-based and multidimensional approach to classifying chronic pain conditions. J Pain. 2014;15(3):241–249.
Mutubuki E.N., van Helvoirt H., van Dongen J.M. et al. Cost-effectiveness of combination therapy (Mechanical Diagnosis and Treatment and Transforaminal Epidural Steroid Injections) among patients with an indication for a Lumbar Herniated Disc surgery: Protocol of a randomized controlled trial. Physiother Res Int. 2020;25(1):e1796.
Šagát P., Bartík P., Prieto González P., Tohănean D.I., Knjaz D. Impact of COVID-19Quarantine on Low Back Pain Intensity, Prevalence, and Associated Risk Factors among Adult Citizens Residing in Riyadh (Saudi Arabia): A Cross-Sectional Study. Int J Environ Res Public Health. 2020;17(19):7302.
Toprak Celenay S., Karaaslan Y., Mete O., Ozer Kaya D. Coronaphobia, musculoskeletal pain, and sleep quality in stay-at home and continued-working persons during the 3-month Covid-19 pandemic lockdown in Turkey. Chronobiol Int. 2020;37(12):1778–1785.
Moretti A., Menna F., Aulicino M., Paoletta M., Liguori S., Iolascon G. Characterization of Home Working Population during COVID-19 Emergency: A Cross-Sectional Analysis. Int J Environ Res Public Health. 2020;17(17):6284.
Plopa M., Makarowski R. Kwestionariusz poczucia stresu. Wyd. Vizja Press & IT, Warszawa 2010.
Rehman U., Shahnawaz M.G., Khan N.H. et al. Depression, Anxiety and Stress Among Indians in Times of Covid-19 Lockdown. Community Ment Health J. 2021;57(1):42–48.
Flaskerud J.H. Stress in the Age of COVID-19. Issues Ment Health Nurs. 2021;42(1):99–102.
Maarefvand M., Hosseinzadeh S., Farmani O., Safarabadi Farahani A., Khubchandani J. Coronavirus Outbreak and Stress in Iranians. Int J Environ Res Public Health. 2020;17(12):4441.
Callow D.D., Arnold-Nedimala N.A., Jordan L.S. et al. The Mental Health Benefits of Physical Activity in Older Adults Survive the COVID-19 Pandemic. Am J Geriatr Psychiatry. 2020;28(10):1046–1057.
Baranyi A., Amouzadeh-Ghadikolai O., von Lewinski D. et al. Revisiting the tryptophan-serotonin deficiency and the inflammatory hypotheses of major depression in a biopsychosocial approach. PeerJ. 2017;5:e3968.
Beis D., Holzwarth K., Flinders M., Bader M., Wöhr M., Alenina N. Brain serotonin deficiency leads to social communication deficits in mice. Biol Lett. 2015;11(3):20150057.
Hall E., Steiner M. Serotonin and female psychopathology. Womens Health (Lond). 2013;9(1):85–97.
Liu N., Zhang F., Wei C. Prevalence and predictors of PTSS during COVID-19 outbreak in China hardest-hit areas: Gender differences matter. Psychiatry Res. 2020;287:112921.
Wong S.Y.S., Zhang D., Sit R.W.S. et al. Impact of COVID-19 on loneliness, mental health, and health service utilisation: a prospective cohort study of older adults with multimorbidity in primary care. Br J Gen Pract. 2020;70(700):e817–e824.
Park C.L., Russell B.S., Fendrich M., Finkelstein-Fox L., Hutchison M., Becker J. Americans’ COVID-19 Stress, Coping, and Adherence to CDC Guidelines. J Gen Intern Med. 2020;35(8):2296–2303.
Van Doren N., Soto J.A. Paying the price for anger: Do women bear greater costs? Int J Psychol. 2021;56(3):331–337.
Samulowitz A., Gremyr I., Eriksson E., Hensing G. “Brave Men” and “Emotional Women”: A Theory-Guided Literature Review on Gender Bias in Health Care and Gendered Norms towards Patients with Chronic Pain. Pain Res Manag. 2018;2018:6358624.
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