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Abstract：
OBJECTIVE: We aimed at investigating the impact of COVID-19-related distress on patients with chronic pain, highlighting the effects of changes in individual habits and public health care reconfiguration on physical and psychological health.
METHODS: During the pandemic, 80 participants (25 patients with small fibre neuropathy (SFN), 42 patients with chronic migraine (CM) and 13 patients\' healthy family members (HFM)) were asked to evaluate their COVID-19 complains, changes in habits and clinical management, behaviour, mood, loneliness, quality of life (QoL), physical and mental health and coping strategies. Data were analysed by Spearman rho correlations and Mann-Whitney U tests.
RESULTS: Patients had lower QoL, lower physical health and higher catastrophizing attitude towards pain than HFM. During the pandemic, SFN patients referred greater decline in clinical symptoms, worries about contagion and discomfort for disease management changes than CM patients. In the SFN group, the higher levels of disability were associated with suffering from changes in neurologist-patient relationship. CM patients complained of agitation/anxiety that was related to feelings of loneliness, depressive mood and catastrophism.
CONCLUSIONS: Despite similar complains of change in habits and worries about COVID-19 pandemic, SFN and CM patients had distinct reactions. In SFN patients, pandemic distress impacted on physical health with worsening of clinical conditions, especially suffering from changes in their care. In CM patients, pandemic distress affected behaviour, mainly with psychological frailty. This suggests the need to customize public health care for patients with distinct chronic pain conditions.
METHODS: During the pandemic, 80 participants (25 patients with small fibre neuropathy (SFN), 42 patients with chronic migraine (CM) and 13 patients\' healthy family members (HFM)) were asked to evaluate their COVID-19 complains, changes in habits and clinical management, behaviour, mood, loneliness, quality of life (QoL), physical and mental health and coping strategies. Data were analysed by Spearman rho correlations and Mann-Whitney U tests.
RESULTS: Patients had lower QoL, lower physical health and higher catastrophizing attitude towards pain than HFM. During the pandemic, SFN patients referred greater decline in clinical symptoms, worries about contagion and discomfort for disease management changes than CM patients. In the SFN group, the higher levels of disability were associated with suffering from changes in neurologist-patient relationship. CM patients complained of agitation/anxiety that was related to feelings of loneliness, depressive mood and catastrophism.
CONCLUSIONS: Despite similar complains of change in habits and worries about COVID-19 pandemic, SFN and CM patients had distinct reactions. In SFN patients, pandemic distress impacted on physical health with worsening of clinical conditions, especially suffering from changes in their care. In CM patients, pandemic distress affected behaviour, mainly with psychological frailty. This suggests the need to customize public health care for patients with distinct chronic pain conditions.
摘要：
目的：我们旨在调查COVID-19相关痛苦对慢性疼痛患者的影响，强调个人习惯的变化和公共卫生保健重新配置对身心健康的影响。
方法：在大流行期间，80名参与者(25名小纤维神经病(SFN)患者，42例慢性偏头痛(CM)患者和13例健康家庭成员(HFM)患者被要求评估他们的COVID-19投诉，习惯和临床管理的改变，行为,心情,孤独,生活质量（QoL），身心健康及应对策略。数据通过Spearmanrho相关性和Mann-WhitneyU检验进行分析。
结果：患者的生活质量较低，比HFM更低的身体健康和对疼痛的灾难性态度。大流行期间,SFN患者提到临床症状下降幅度更大，比CM患者更担心疾病管理变化的传染和不适。在SFN组中，较高的残疾水平与神经科医患关系的改变有关.CM患者抱怨与孤独感有关的激动/焦虑，抑郁情绪和灾难主义。
结论：尽管有类似的抱怨习惯改变和对COVID-19大流行的担忧，SFN和CM患者有明显的反应。在SFN患者中，大流行的困扰影响了身体健康，临床状况恶化，尤其是他们的护理变化。在CM患者中，大流行困扰影响了行为，主要是心理脆弱。这表明需要为患有不同慢性疼痛状况的患者定制公共医疗保健。
方法：在大流行期间，80名参与者(25名小纤维神经病(SFN)患者，42例慢性偏头痛(CM)患者和13例健康家庭成员(HFM)患者被要求评估他们的COVID-19投诉，习惯和临床管理的改变，行为,心情,孤独,生活质量（QoL），身心健康及应对策略。数据通过Spearmanrho相关性和Mann-WhitneyU检验进行分析。
结果：患者的生活质量较低，比HFM更低的身体健康和对疼痛的灾难性态度。大流行期间,SFN患者提到临床症状下降幅度更大，比CM患者更担心疾病管理变化的传染和不适。在SFN组中，较高的残疾水平与神经科医患关系的改变有关.CM患者抱怨与孤独感有关的激动/焦虑，抑郁情绪和灾难主义。
结论：尽管有类似的抱怨习惯改变和对COVID-19大流行的担忧，SFN和CM患者有明显的反应。在SFN患者中，大流行的困扰影响了身体健康，临床状况恶化，尤其是他们的护理变化。在CM患者中，大流行困扰影响了行为，主要是心理脆弱。这表明需要为患有不同慢性疼痛状况的患者定制公共医疗保健。
