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.
Int J Environ Res Public Health. 2020 Jul 31;17(15):5556. doi: 10.3390/ijerph17155556.
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.
需要进行纵向研究，以确定非特异性脊柱疼痛患者的医疗保健利用和药物摄入的预测因素。本研究旨在前瞻性研究性别、年龄、工作状态、疼痛强度、疼痛接受度、残疾、抑郁、疼痛焦虑和灾难化与非特异性脊柱疼痛患者的医疗保健利用和药物摄入的关系。参与者为 79 名非特异性脊柱疼痛持续 6 至 9 个月的患者。他们在 6 个月和 12 个月时进行了随访。在入组时，他们接受了一系列评估预测变量的问卷。在随访 1 和 2 时评估了医疗保健的利用和药物的摄入。在随访 1 时，较高的疼痛接受度与较低的医疗保健利用率和较低的药物摄入相关，而男性与较低的药物摄入相关。在随访 2 时，较高的与疼痛相关的残疾与较高的医疗保健利用相关，而疼痛强度与较高的药物摄入相关。这些结果表明，在非特异性脊柱疼痛慢性化的早期阶段，疼痛接受度和避免与疼痛相关的残疾（理解为放弃正常活动）可导致医疗保健利用率和药物摄入减少。
