Artigo em revista científica Q1
Opioid pain medication prescription for chronic pain in primary care centers: the roles of pain acceptance, pain intensity, depressive symptoms, pain catastrophizing, sex, and age
Carmen Ramírez-Maestre (Ramírez-Maestre, C.); Ángela Reyes-Pérez (Reyes-Pérez, Á.); Rosa Esteve (Esteve, R.); Alicia E. López-Martínez (López-Martínez, A. E. ); Sónia F. Bernardes (Bernardes, S.); Mark P. Jensen (Jensen, M. P. );
Título Revista
International Journal of Environmental Research and Public Health
Ano
2020
Língua
Inglês
País
Suíça
Mais Informação
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N.º de citações: 3

(Última verificação: 2021-10-15 10:34)

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Abstract/Resumo
Background: Psychological factors of patients may influence physicians’ decisions on prescribing opioid analgesics. However, few studies have sought to identify these factors. The present study had a double objective: (1) To identify the individual factors that differentiate patients who had been prescribed opioids for the management of chronic back pain from those who had not been prescribed opioids and (2) to determine which factors make significant and independent contributions to the prediction of opioid prescribing. Methods: A total of 675 patients from four primary care centers were included in the sample. Variables included sex, age, pain intensity, depressive symptoms, pain catastrophizing, and pain acceptance. Results: Although no differences were found between men and women, participants with chronic noncancer pain who were prescribed opioids were older, reported higher levels of pain intensity and depressive symptoms, and reported lower levels of pain-acceptance. An independent association was found between pain intensity and depressive symptoms and opioid prescribing. Conclusions: The findings suggest that patient factors influence physicians’ decisions on prescribing opioids. It may be useful for primary care physicians to be aware of the potential of these factors to bias their treatment decisions.
Agradecimentos/Acknowledgements
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Palavras-chave
Opioid prescriptions,Pain acceptance,Pain catastrophizing,Depression,Sex,Chronic pain
  • Psicologia - Ciências Sociais
Registos de financiamentos
Referência de financiamento Entidade Financiadora
PSI2008-01803/PSIC Spanish Ministry of Science and Innovation
UIDB/03125/2020 Fundação para a Ciência e a Tecnologia
HUM-566 Regional Government of Andalusia
P07-SEJ-3067 Regional Government of Andalusia

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