Inatividade física predispõe piora de dor, ansiedade e qualidade de sono em indivíduos com dor crônica durante a pandemia por COVID-19: estudo observacional COVID-or

Autores

DOI:

https://doi.org/10.33448/rsd-v11i16.38230

Palavras-chave:

COVID-19; Dor crônica; Ansiedade; Qualidade do sono; Comportamento sedentário.

Resumo

Objetivo: Avaliar a influência da quarentena por COVID-19 na dor, nos aspectos psicoemocionais, na qualidade de vida e de sono da dor crônica. Metodologia: Foram incluídos indivíduos com fibromialgia, enxaqueca e lombalgia crônica. O levantamento foi realizado por meio de questionário anexado no aplicativo Forms, do Google Drive, com perguntas objetivas sobre aspectos álgicos e emocionais. Resultados: Responderam ao formulário 85 indivíduos. Cerca de 70% da amostra relatou piora da intensidade de dor e 52% apresentaram aumento da frequência diária de dor. Mais da metade dos indivíduos (58,8%) referiu ansiedade intensa. Além disso, metade da amostra (47,1%) relatou qualidade de vida ruim e qualidade de sono ruim (51,8%). Pouco mais de 60% da amostra não praticou atividade física. Na análise de regressão, a falta de atividade física apresentou uma chance de 335% de aumentar a intensidade de dor (β: -1,095, OR: 0,335, p= 0,025), de aumentar a ansiedade em 244% (β: -1,412, OR: 0,244, p= 0,013) e de 250% de causar insônia (β: -1,353, OR: 0,250, p= 0,010). Conclusão: O aumento da dor e da ansiedade nos indivíduos com dor crônica durante a pandemia por COVID-19 influenciaram negativamente a qualidade de vida e do sono. A inatividade física durante a quarentena predispôs piora da dor e de aspectos psicoemocionais.

Referências

Ahmed, F. (2012). Headache disorders : differentiating and managing the common subtypes. British Journal of Pain, 6(3), 124–132. https://doi.org/10.1177/2049463712459691.

Baqui, P., Mphil, I. B., Marra, V., Ercole, A., & Schaar, P. M. Van Der. (2020). Articles Ethnic and regional variations in hospital mortality from COVID-19 in Brazil : a cross-sectional observational study. The Lancet Global Health, 8(8), e1018–e1026. https://doi.org/10.1016/S2214-109X(20)30285-0.

Bradley, L. A. (2009). Pathophysiology of Fbromyalgia. Am J Med., 122, 1–13. https://doi.org/10.1016/j.amjmed.2009.09.008.

Chow, N., Fleming-Dutra, K., Gierke, R., Hall, A., Hughes, M., Pilishvili, T., … Ussery, E. (2020). Preliminary Estimates of the Prevalence of Selected Underlying Health Conditions Among Patients with Coronavirus Disease 2019. Morbidity and Mortality Weekly Report, 69(13), 382–386.

Crofford, L. J. (2015). CHRONIC PAIN : WHERE THE BODY MEETS THE BRAIN. Transactions of the American Clinical and Climatological Association, 126, 167–183.

DeSantana, J. M. (2020). What about patients with pain during and after the COVID-19 pandemic? Brazilian Journal of Pain, 3, 1–2. https://doi.org/10.5935/2595-0118.20200181.

Desantana, J. M., Perissinotti, D. M. N., Oliveira Junior, J. O., Correia, L. M. F., Oliveira, C. M., & Fonseca, P. R. B. (2020). Revised definition of pain after four decades. Brazilian Journal of Pain, 3(3), 197–198. https://doi.org/10.5935/2595-0118.20200191.

Fioratti, I., Fernandes, L. G., Reis, F., & Saragiotto, B. T. (2020). Strategies for a safe and assertive telerehabilitation practice. Brazilian Journal of Physical Therapy, 7–10. https://doi.org/10.1016/j.bjpt.2020.07.009.

Flink, I., Boersma, K., & Linton, S. J. (2013). Pain Catastrophizing as Repetitive Negative Thinking : A Development of the Conceptualization Earlier conceptualizations. Cognitive Behaviour Therapy, 42(3), 215–223.

Galea, S., Merchant, R. M., & Lurie, N. (2020). The Mental Health Consequences of COVID-19 and Physical Distancing The Need for Prevention and Early Intervention. JAMA Internal Medicine, 180(6), 6–7. https://doi.org/10.1002/da.20838.

Geneen, L. J., Moore, R. A., Clarke, C., Martin, D., Colvin, L. A., & Smith, B. H. (2017). Physical activity and exercise for chronic pain in adults : an overview of Cochrane Reviews ( Review ). Cochrane Database of Systematic Review, (1). https://doi.org/10.1002/14651858.CD011279.pub2.www.cochranelibrary.com

Heer, E. W. De, Gerrits, M. M. J. G., Beekman, A. T. F., Dekker, J., Marwijk, H. W. J. Van, Waal, M. W. M. De, Penninx, B. W. J. H. (2014). The Association of Depression and Anxiety with Pain : A Study from NESDA. PLoS ONE, 9(10), 1–11. https://doi.org/10.1371/journal.pone.0106907.

Hussain, A., Bhowmik, B., & Cristina do Vale Moreira, N. (2020). COVID-19 and Diabetes: Knowledge in Progress. Diabetes Research and Clinical Practice, (January).

Jensen, M. P., Karoly, P., & Braver, S. (1986). The measurement of clinical pain intensity: a comparison of six methods. Pain, 27(1), 117–126. https://doi.org/10.1016/0304-3959(86)90228-9.

Joypaul, S., Kelly, F., Mcmillan, S. S., & King, M. A. (2019). Multi-disciplinary interventions for chronic pain involving education : A systematic review. PLoS ONE, 14(10), 1–24.

Lai, J., Ma, S., Wang, Y., Cai, Z., Hu, J., Wei, N., … Li, R. (2020). Factors Associated With Mental Health Outcomes Among Health Care Workers Exposed to Coronavirus Disease 2019. JAMA Network Open, 3(3), 1–12. https://doi.org/10.1001/jamanetworkopen.2020.3976.

Larsson, C., Hansson, E. E., Sundquist, K., & Jakobsson, U. (2016a). Impact of pain characteristics and fear- avoidance beliefs on physical activity levels among older adults with chronic pain : a population-based , longitudinal study. BMC Geriatrics, 1–8. https://doi.org/10.1186/s12877-016-0224-3.

Larsson, C., Hansson, E. E., Sundquist, K., & Jakobsson, U. (2016b). Kinesiophobia and its relation to pain characteristics and cognitive affective variables in older adults with chronic pain. BMC Geriatrics, 1–7. https://doi.org/10.1186/s12877-016-0302-6.

Martins-Filho, P., Araújo, A., Quintans-Júnior, L., & Santos, V. (2020). COVID-19 fatality rates related to social inequality in Northeast Brazil: a neighborhood-level analysis. Journal of Travel Medicine.

Mathias, J. L., Cant, M. L., & Burke, A. L. J. (2018). Sleep disturbances and sleep disorders in adults living with chronic pain: A meta-analysis. Sleep Medicine. https://doi.org/10.1016/j.sleep.2018.05.023.

Miller, M. B., Roumanis, M. J., Kakinami, L., & Dover, G. C. (2020). Chronic Pain Patients ’ Kinesiophobia and Catastrophizing are Associated with Activity Intensity at Different Times of the Day. Journal of Pain Research, 13, 273–284.

Nilsen, T. O. M. I. L., & Sand, T. (2018). Sleep hygiene , insomnia and mental health Do physical activity and body mass index modify the association between chronic musculoskeletal pain and insomnia ? Longitudinal data from the HUNT study , Norway. J Sleep Res., 32–39. https://doi.org/10.1111/jsr.12580.

Pereira, A. S., Shitusuka, D. M., Parreira, F. J., & Shitsuka, R. (2018). Metodologia da pesquisa científica [recurso eletrônico]. (UAB/NTE/UFSM, Ed.) (1 edition). Santa Maria, RS.

Pfefferbaum, B., & North, C. S. (2020). Mental Healthy and tht Covid-19 Pandemic. The New England Journal of Medicine, 1–3.

Pires, L. N., Carvalho, L., & Xavier, L. de L. (2020). COVID-19 e desigualdade: a distribuição dos fatores de risco no Brasil, (April). https://doi.org/DOI: 10.13140/RG.2.2.27014.73282.

Quartana, P. J., Campbell, C. M., & Edwards, R. R. (2009). Pain catastrophizing: a critical review. Expert Review of Neurotherapeutics, 9(5), 745–758. https://doi.org/10.1586/ERN.09.34.

Raja, S. N., Carr, D. B., Cohen, M., Finnerup, N. B., Flor, H., Gibson, S., … Vader, K. (2020). The revised International Association for the Study of Pain definition of pain : concepts , challenges , and compromises. Pain, 00(00).

Rocha, A., Kraychete, D., Lemonica, L., Carvalho, L., Barros, G., Garcia, J., & Sakata, R. (2007). Pain: Current Aspects on Peripheral and Central Sensitization. Rev. Bras Anestesiol, 57, 94–105.

Severino, A. J. (2013). Metodologia do Trabalho Científico. (Cortez, Ed.) (1 edition). São Paulo.

Silva, A. A. M. (2020). On the possibility of interrupting the coronavirus ( COVID-19 ) epidemic based on the best available scientific evidence. Rev Bras Epidemiol, 23, 1–3. https://doi.org/10.1590/1980-549720200021.

Sluka, K. A., Law, L. F., Hoeger, M., Science, R., City, I., City, I., & City, I. (2018). Exercise-induced pain and analgesia? Underlying mechanisms and clinical translation. Pain, 159(Suppl 1), 319–335. https://doi.org/10.1097/j.pain.0000000000001235.

Tompkins, D. A., Hobelmann, J. G., & Compton, P. (2018). Providing chronic pain management in the “Fifht Vital Sign” Era: Historical and treatment perspective on a modern-day medical dilemma. Drug Alcohol Depend, 173(Suppl 1), 1–26. https://doi.org/10.1016/j.drugalcdep.2016.12.002.

Treede, R.-D., Rief, W., Barke, A., Aziz, Q., Bennett, M. I., Benoliel, R., … Wang, S.-J. (2019). Chronic pain as a symptom or a disease: the IASP Classification of Chronic Pain for the International Classification of Diseases (ICD-11). Pain, 160(1), 19–27. https://doi.org/10.1097/j.pain.0000000000001384.

Vicent, H. K., George, S. Z., Seay, A. N., Vincent, K. R., & Hurley, R. W. (2014). Resistance exercise, disability, and pain catastrophizing in obese adults with back pain. Med Sci Sports Exerc., 46(9), 1693–1701. https://doi.org/10.1249/MSS.0000000000000294.

Wiklund, T., Linton, S. J., Alföldi, P., & Gerdle, B. (2018). Is sleep disturbance in patients with chronic pain affected by physical exercise or ACT-based stress management ? – A randomized controlled study. BMC Musculoskeletal Disorders, 19(111), 1–13.

Woo, A. K. (2010). Depression and Anxiety in Pain. Rev. Pain, 4(1), 8–12.

Woods, J., Hutchinson, N. T., Powers, S. K., Roberts, W. O., Gomez-Cabrera, M. C., Radak, Z., … Ji, L. L. (2020). The COVID-19 Pandemic and Physical Activity. Sports Medicine and Health Science, (May). https://doi.org/https://doi.org/10.1016/j.smhs.2020.05.006.

Zaman, S., Maclsaac, A. I., & Jennings, G. (2020). The Medical Journal of Australia – Preprint only – 3 April 2020 The Medical Journal of Australia – Preprint only – 3 April 2020. The Medicala Journal of Australia, (April).

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Publicado

11/12/2022

Como Citar

PEREIRA, T. A. B. .; SANTOS, A. O.; ALMEIDA, A. S. de; DANTAS, M. I. O.; DESANTANA, J. M. . Inatividade física predispõe piora de dor, ansiedade e qualidade de sono em indivíduos com dor crônica durante a pandemia por COVID-19: estudo observacional COVID-or. Research, Society and Development, [S. l.], v. 11, n. 16, p. e354111638230, 2022. DOI: 10.33448/rsd-v11i16.38230. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/38230. Acesso em: 27 set. 2024.

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Ciências da Saúde