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Publication Detailed Description
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
Journal Title
International Journal of Environmental Research and Public Health
Year (definitive publication)
2020
Language
English
Country
Switzerland
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Abstract
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.
Acknowledgements
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Keywords
Opioid prescriptions,Pain acceptance,Pain catastrophizing,Depression,Sex,Chronic pain
Fields of Science and Technology Classification
- Psychology - Social Sciences
Funding Records
Funding Reference | Funding Entity |
---|---|
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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