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

Author

Listed:
  • Rosa Esteve

    (Instituto de Investigación Biomédica de Málaga, Facultad de Psicología, Andalucía Tech, Universidad de Málaga, 29071 Málaga, Spain)

  • Alicia Eva López-Martínez

    (Instituto de Investigación Biomédica de Málaga, Facultad de Psicología, Andalucía Tech, Universidad de Málaga, 29071 Málaga, Spain)

  • Gema Teresa Ruíz-Párraga

    (Instituto de Investigación Biomédica de Málaga, Facultad de Psicología, Andalucía Tech, Universidad de Málaga, 29071 Málaga, Spain)

  • Elena Rocío Serrano-Ibáñez

    (Instituto de Investigación Biomédica de Málaga, Facultad de Psicología, Andalucía Tech, Universidad de Málaga, 29071 Málaga, Spain
    Facultad de Ciencias de la Salud, Área de Psicología, Universidad Isabel I, 09003 Burgos, Spain)

  • Carmen Ramírez-Maestre

    (Instituto de Investigación Biomédica de Málaga, Facultad de Psicología, Andalucía Tech, Universidad de Málaga, 29071 Málaga, Spain)

Abstract

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.

Suggested Citation

  • Rosa Esteve & Alicia Eva López-Martínez & Gema Teresa Ruíz-Párraga & Elena Rocío Serrano-Ibáñez & Carmen Ramírez-Maestre, 2020. "Pain Acceptance and Pain-Related Disability Predict Healthcare Utilization and Medication Intake in Patients with Non-Specific Chronic Spinal Pain," IJERPH, MDPI, vol. 17(15), pages 1-12, July.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:15:p:5556-:d:392976
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    References listed on IDEAS

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    1. Eccleston, Chris & De C. Williams, Amanda C. & Rogers, Wendy Stainton, 1997. "Patients' and professionals' understandings of the causes of chronic pain: Blame, responsibility and identity protection," Social Science & Medicine, Elsevier, vol. 45(5), pages 699-709, September.
    2. Aban, Inmaculada B. & Cutter, Gary R. & Mavinga, Nsoki, 2009. "Inferences and power analysis concerning two negative binomial distributions with an application to MRI lesion counts data," Computational Statistics & Data Analysis, Elsevier, vol. 53(3), pages 820-833, January.
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    Cited by:

    1. Rosa Esteve & Estefanía Marcos & Ángela Reyes-Pérez & Alicia E. López-Martínez & Carmen Ramírez-Maestre, 2021. "Pain Acceptance Creates an Emotional Context That Protects against the Misuse of Prescription Opioids: A Study in a Sample of Patients with Chronic Noncancer Pain," IJERPH, MDPI, vol. 18(6), pages 1-12, March.

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