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Article

Pain Acceptance and Pain-Related Disability Predict Healthcare Utilization and Medication Intake in Patients with Non-Specific Chronic Spinal Pain

1
Instituto de Investigación Biomédica de Málaga, Facultad de Psicología, Andalucía Tech, Universidad de Málaga, 29071 Málaga, Spain
2
Facultad de Ciencias de la Salud, Área de Psicología, Universidad Isabel I, 09003 Burgos, Spain
*
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2020, 17(15), 5556; https://doi.org/10.3390/ijerph17155556
Received: 1 June 2020 / Revised: 28 July 2020 / Accepted: 30 July 2020 / Published: 31 July 2020
(This article belongs to the Special Issue Psychological Flexibility and Adjustment to Chronic Pain)
Longitudinal research is needed to determine predictive factors of healthcare utilization and medication intake in people with non-specific spinal pain. This study aims to prospectively examine the predictive value of sex, age, work status, pain intensity, pain acceptance, disability, depression, pain anxiety, and catastrophizing in relation to healthcare utilization and medication intake in people with non-specific spinal pain. Participants were 79 patients with non-specific spinal pain of 6 to 9 months’ duration. They were followed-up at 6 months and 12 months. At enrolment they were administered a battery of questionnaires assessing the predictive variables. Healthcare utilization and medication intake were assessed at follow-ups 1 and 2. At follow-up 1, higher pain acceptance was associated with less healthcare utilization and less medication intake, while male sex was associated with less medication intake. At follow-up 2, higher pain-related disability was associated with higher healthcare use, and pain intensity was associated with higher medication intake. These results suggest that during the early stages of non-specific spinal pain chronification, pain acceptance and the avoidance of pain-related disability—understood as giving up normal activities—can lead to reductions in healthcare utilization and medication intake. View Full-Text
Keywords: pain acceptance; chronic pain; disability; healthcare utilization; medication intake; prospective study pain acceptance; chronic pain; disability; healthcare utilization; medication intake; prospective study
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MDPI and ACS Style

Esteve, R.; López-Martínez, A.E.; Ruíz-Párraga, G.T.; Serrano-Ibáñez, E.R.; Ramírez-Maestre, C. Pain Acceptance and Pain-Related Disability Predict Healthcare Utilization and Medication Intake in Patients with Non-Specific Chronic Spinal Pain. Int. J. Environ. Res. Public Health 2020, 17, 5556. https://doi.org/10.3390/ijerph17155556

AMA Style

Esteve R, López-Martínez AE, Ruíz-Párraga GT, Serrano-Ibáñez ER, Ramírez-Maestre C. Pain Acceptance and Pain-Related Disability Predict Healthcare Utilization and Medication Intake in Patients with Non-Specific Chronic Spinal Pain. International Journal of Environmental Research and Public Health. 2020; 17(15):5556. https://doi.org/10.3390/ijerph17155556

Chicago/Turabian Style

Esteve, Rosa, Alicia E. López-Martínez, Gema T. Ruíz-Párraga, Elena R. Serrano-Ibáñez, and Carmen Ramírez-Maestre. 2020. "Pain Acceptance and Pain-Related Disability Predict Healthcare Utilization and Medication Intake in Patients with Non-Specific Chronic Spinal Pain" International Journal of Environmental Research and Public Health 17, no. 15: 5556. https://doi.org/10.3390/ijerph17155556

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