{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,15]],"date-time":"2025-12-15T19:10:59Z","timestamp":1765825859456,"version":"build-2065373602"},"reference-count":50,"publisher":"MDPI AG","issue":"22","license":[{"start":{"date-parts":[[2021,11,9]],"date-time":"2021-11-09T00:00:00Z","timestamp":1636416000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>Social distancing measures during the lockdown have had a negative impact on chronic pain patients\u2019 function. Research, however, has only focused on the early stages of the first lockdowns. The aim of this study was to improve the understanding of the effects of COVID-19 social distancing measures on individuals with chronic pain living in Spain during the late stages of the lockdown. A group of 361 adults with pain participated in this study. They responded to an online survey and provided information on sociodemographic issues, pain, fatigue, perceived health, and quality of life. The data showed that most participants suffered moderate to severe pain and interferences with pain treatment and an increase in pain intensity during the lockdown. Most participants also informed us that fatigue had worsened during the lockdown (62%). Importantly, females with lower monthly family income and lower education have been found to be associated with greater levels of pain and fatigue. Despite this, participants perceived themselves as having good health and good quality of life. The findings from this study can be used to inform policy and specific responses for future COVID-19 waves and future pandemics where social distancing measures must be implemented.<\/jats:p>","DOI":"10.3390\/ijerph182211732","type":"journal-article","created":{"date-parts":[[2021,11,9]],"date-time":"2021-11-09T12:46:23Z","timestamp":1636461983000},"page":"11732","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Effects of COVID-19 Social Distancing Measures in Individuals with Chronic Pain Living in Spain in the Late Stages of the Lockdown"],"prefix":"10.3390","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1998-6653","authenticated-orcid":false,"given":"Jordi","family":"Mir\u00f3","sequence":"first","affiliation":[{"name":"Research Center for Behavior Assessment (CRAMC), Unit for the Study and Treatment of Pain\u2014ALGOS, Department of Psychology, Universitat Rovira i Virgili, 43007 Catalonia, Spain"},{"name":"Institut d\u2019Investigaci\u00f3 Sanit\u00e0ria Pere Virgili, Universitat Rovira i Virgili, 43003 Catalonia, Spain"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8377-1799","authenticated-orcid":false,"given":"Elisabet","family":"S\u00e1nchez-Rodr\u00edguez","sequence":"additional","affiliation":[{"name":"Research Center for Behavior Assessment (CRAMC), Unit for the Study and Treatment of Pain\u2014ALGOS, Department of Psychology, Universitat Rovira i Virgili, 43007 Catalonia, Spain"},{"name":"Institut d\u2019Investigaci\u00f3 Sanit\u00e0ria Pere Virgili, Universitat Rovira i Virgili, 43003 Catalonia, Spain"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3684-5561","authenticated-orcid":false,"given":"Alexandra","family":"Ferreira-Valente","sequence":"additional","affiliation":[{"name":"William James Center for Research, ISPA\u2014University Institute, 1100-304 Lisbon, Portugal"},{"name":"Department of Rehabilitation Medicine, University of Washington, Seattle, WA 98195, USA"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2882-8056","authenticated-orcid":false,"given":"Jos\u00e9","family":"Pais-Ribeiro","sequence":"additional","affiliation":[{"name":"William James Center for Research, ISPA\u2014University Institute, 1100-304 Lisbon, Portugal"},{"name":"Faculty of Psychology and Education Sciences, University of Porto, 4099-002 Porto, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8456-3430","authenticated-orcid":false,"given":"Antonella","family":"Ciaramella","sequence":"additional","affiliation":[{"name":"Lab. of Psychosomatic, GIFT Institute of Integrative Medicine, 56126 Pisa, Italy"}]}],"member":"1968","published-online":{"date-parts":[[2021,11,9]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"101090","DOI":"10.1016\/j.dhjo.2021.101090","article-title":"Impact of COVID-19 on services for people with disabilities and chronic health conditions","volume":"14","author":"Schwartz","year":"2021","journal-title":"Disabil. 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