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                <text>Dominio científico: Coronavirus</text>
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              <text>Manifestation of Borderline Personality Symptomatology in Chronic Pain Patients Under Stress: An Understated and Exacerbated Consequence of the COVID-19 Crisis</text>
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              <text>Schatman ME, Kulich RJ, Shapiro H</text>
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              <text>Hannah Shapiro, 1 Ronald J Kulich, 2, 3 Michael E Schatman 3, 4  1Department of Biopsychology, Tufts University, Medford, MA, USA;  2Department of Anesthesia, Critical Care and Pain Medicine, Harvard Medical School/Massachusetts General Hospital, Boston, MA, USA;  3Department of Diagnostic Sciences, Tufts University School of Dental Medicine, Boston, MA, USA;  4Department of Public Health and Community Medicine, Tufts University School of Medicine, Boston, MA, USACorrespondence: Michael E Schatman Tel +1 425 647-4880Email Michael.Schatman@tufts.eduTo the best of our knowledge, no one has ever suggested that it is &amp;ldquo;easy&amp;rdquo; to suffer&amp;nbsp;from intractable chronic pain, with some subgroups impacted more than others.&amp;nbsp;This burden has had a particularly strong impact in the United States, where the&amp;nbsp;chronic pain treatment system has demonstrated failings with respect to access to&amp;nbsp;care1&amp;ndash;8 Because chronic pain is so poorly treated in the United States, patients have&amp;nbsp;struggled not only with their pain and its sequelae but also with mounting frustration&amp;nbsp;and downstream psychological consequences. Depression and suicidality have&amp;nbsp;been linked to poorly controlled pain,9,10 and the authors of a recent study11 noted&amp;nbsp;that these phenomena are a concern within the context of opioid tapering. Similarly,&amp;nbsp;Lembke has recently acknowledged that even mention of tapering can trigger&amp;nbsp;severe anxiety in chronic pain patients,12 with data supporting the relationship&amp;nbsp;between undertreated chronic pain and anxiety.13,14 Although myriad investigations&amp;nbsp;have supported the existence of a reciprocal relationship between chronic pain and&amp;nbsp;depression15&amp;ndash;17 as well as between chronic pain and anxiety,18&amp;ndash;20 detailed discussion&amp;nbsp;of causality is beyond the scope of this analysis.</text>
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              <text>Journal of Pain Research</text>
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              <text>Dove Medical Press</text>
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              <text>Medicine (General)</text>
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