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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 BMC+Geriatr
2025 ; 25
(1
): 802
Nephropedia Template TP
gab.com Text
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English Wikipedia
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
#MMPMID41131494
Saint-Martin H
; Dorey JM
; Herrmann M
; Laurent B
; Lebrun-Givois C
; Perrot C
; Edjolo A
; Ouss E
; Pongan E
; Rouch I
BMC Geriatr
2025[Oct]; 25
(1
): 802
PMID41131494
show ga
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). ?² 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.