Analyzing Pain and Mental Health Trends in Young Individuals with Chronic Pain Amidst the COVID-19 Pandemic - Report - MDSpire

Analyzing Pain and Mental Health Trends in Young Individuals with Chronic Pain Amidst the COVID-19 Pandemic

  • By

  • Fareha Nishat

  • Sarah Brennenstuhl

  • Nicole E. MacKenzie

  • Sakib Tariq

  • Kathryn A. Birnie

  • Melanie Noel

  • Chitra Lalloo

  • Sabine Soltani

  • Jennifer N. Stinson

  • April 29, 2026

  • 0 min

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Clinical Report: Analyzing Pain and Mental Health Trends in Youth with Chronic Pain

Overview

This study identifies five distinct subgroups of youth with chronic pain based on co-occurring mental health symptoms during the COVID-19 pandemic. Key findings highlight the association of sociodemographic factors with elevated mental health symptoms and pain levels.

Background

Chronic pain affects a significant proportion of youth, often co-occurring with mental health issues, which can severely impact their quality of life. The COVID-19 pandemic has exacerbated these challenges, leading to increased stress and disruptions in healthcare access. Understanding the heterogeneity of pain and mental health symptoms in this population is crucial for effective management and support.

Data Highlights

ProfilePercentageDescription
Sub-clinical mental health symptoms/low pain42.2%Lowest pain levels
Sub-clinical mental health symptoms/high pain12.5%High pain levels
Moderate mental health symptoms/moderate pain34.6%Moderate levels of both
High mental health symptoms/high pain without clinical PTSD6.6%Clinically concerning
High mental health symptoms/high pain4.1%Most severe profile

Key Findings

  • Five distinct subgroups of youth with chronic pain were identified based on mental health symptoms.
  • The largest group reported sub-clinical mental health symptoms with the lowest pain levels.
  • Older youth, female youth, and those perceiving a higher impact of COVID-19 were more likely to belong to elevated symptom profiles.
  • Two smaller groups exhibited high mental health symptoms and high pain, indicating significant clinical concern.
  • Findings emphasize the need for tailored pain management approaches during periods of acute stress.

Clinical Implications

Healthcare providers should adopt person-centered approaches to manage chronic pain in youth, particularly during stressful periods like the COVID-19 pandemic. Regular screening for mental health symptoms is essential to identify at-risk individuals and provide appropriate interventions.

Conclusion

The study highlights the complex interplay between chronic pain and mental health in youth, necessitating a nuanced understanding of individual experiences to inform effective treatment strategies.

References

  1. Brain, Mental health disorders before, during and after the COVID-19 pandemic: a nationwide study, 2023 -- https://academic.oup.com/brain/article/148/5/1829/7879585
  2. Clinical Rheumatology, Assessing the Long-Term Effects of the COVID-19 Pandemic on the Physical and Mental Well-Being of Individuals with Inflammatory Rheumatic Diseases: A Cross-Sectional Study, 2023 -- https://link.springer.com/article/10.1007/s10067-023-06565-0
  3. The ASCO, How Anxiety, Depression, and Low Social Support Impact the Intensity of Cancer Pain, 2020 -- https://ascopost.com/issues/october-10-2020/how-anxiety-depression-and-low-social-support-impact-the-intensity-of-cancer-pain
  4. Frontiers in Psychiatry, Rise in Depression and Other Mental Health Disorders in Saudi Youth Following COVID-19 Pandemic, 2026 -- https://www.frontiersin.org/journals/psychiatry/articles/10.3389/fpsyt.2026.1754791/full
  5. Safe and Effective Pain Management in Children: A New AAP Guideline | AAFP, 2025 -- https://www.aafp.org/pubs/afp/issues/2025/0700/editorials-pain-management-children.html?utm_source=openai
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  7. Establishing consensus on biopsychosocial factors associated with pediatric chronic pain: A modified Delphi study - ScienceDirect, 2025 -- https://www.sciencedirect.com/science/article/pii/S1526590024006746?utm_source=openai
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  11. The ASCO — How Anxiety, Depression, and Low Social Support Impact the Intensity of Cancer Pain
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  15. Evidence-Based Care Guideline
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  17. Characterizing Long COVID Symptoms During Early Childhood
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  19. Cognitive and mental health outcomes in long covid
  20. Safe and Effective Pain Management in Children: A New AAP Guideline | AAFP
  21. Updated Pediatric Safe and Effective Pain Control After Surgery Guide Provides New Recommendations | ACS
  22. Establishing consensus on biopsychosocial factors associated with pediatric chronic pain: A modified Delphi study - ScienceDirect
  23. Preventive Care and Screening: Screening for Depression and Follow-Up Plan | eCQI Resource Center

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