Prediction of physician visits and prescription medicine use for back pain.

Abstract:

:The primary purpose of this study was to examine the extent to which specific patient attitudes and beliefs about medical care and self-care for back pain predict future healthcare use. An automated database allowed examination of the predictive relationships in two primary care patient samples. In general, beliefs that physicians should find a definitive cause and permanent cure for back pain predicted neither physician visits nor prescription medication fills. Patient attitudes endorsing the benefits of medical treatment for back pain (as opposed to a permanent cure) predicted the use of these specific healthcare services. In a third sample of primary care back pain patients, we assessed whether a four-session self-care intervention modified those attitudes and beliefs shown to predict future healthcare use. The group intervention was associated with changes in attitudes about use of physician services but not medication use. A secondary purpose was to examine initial psychometric properties of a proposed back pain Self-Care Orientation Scale made up of the original 11 items. Factor analyses of the item set yielded three factors, but inconclusive results; the internal consistency of the identified sub-scales was only moderate. However, findings that a subset of items predicted physician visits and prescriptions medication fills, and was sensitive to change following a self-care intervention, suggest avenues for improving measurement of self-care orientation. These findings help clarify specific patient attitudes and beliefs that are related to healthcare utilization and suggest that a subset of these beliefs can be modified through a brief educational intervention.

journal_name

Pain

journal_title

Pain

authors

Saunders KW,Von Korff M,Pruitt SD,Moore JE

doi

10.1016/s0304-3959(99)00121-9

keywords:

subject

Has Abstract

pub_date

1999-11-01 00:00:00

pages

369-77

issue

2

eissn

0304-3959

issn

1872-6623

pii

S0304395999001219

journal_volume

83

pub_type

临床试验,杂志文章,多中心研究,随机对照试验

相关文献

PAIN文献大全
  • Chronic secondary hypersensitivity of dorsal horn neurones following inflammation of the knee joint.

    abstract::Intra-articular injection of Freund's complete adjuvant (FCA) into the rat knee joint produces a swelling of the joint and long lasting hypersensitivity. In this study we have used this model and in vivo electrophysiology to investigate the time course of spinal changes underlying chronic secondary hypersensitivity, b...

    journal_title:Pain

    pub_type: 杂志文章

    doi:10.1016/j.pain.2007.03.006

    authors: Martindale JC,Wilson AW,Reeve AJ,Chessell IP,Headley PM

    更新日期:2007-12-15 00:00:00

  • Temporal stability of conditioned pain modulation in healthy women over four menstrual cycles at the follicular and luteal phases.

    abstract::Conditioned pain modulation (CPM) is a phenomenon that may be tested with a dynamic quantitative sensory test that assesses the inhibitory aspect of this pain modulatory network. Although CPM has been adopted as a clinical assessment tool in recent years, the stability of the measure has not been determined over long ...

    journal_title:Pain

    pub_type: 临床试验,杂志文章

    doi:10.1016/j.pain.2013.06.038

    authors: Wilson H,Carvalho B,Granot M,Landau R

    更新日期:2013-12-01 00:00:00

  • Effects of doxepin on perception of laboratory-induced pain in man.

    abstract::Beneficial effects have been observed in University of Washington Pain Clinic patients treated with tricyclic antidepressants, but such effects occur much earlier than predicted mood elevation. A laboratory investigation of pain perception was employed to test the hypothesis that doxepin, a tricyclic antidepressant, h...

    journal_title:Pain

    pub_type: 临床试验,杂志文章

    doi:10.1016/0304-3959(78)90012-X

    authors: Chapman RC,Butler SH

    更新日期:1978-10-01 00:00:00

  • Chronic fentanyl or buprenorphine infusion in the mouse: similar analgesic profile but different effects on immune responses.

    abstract::It is known that morphine has a negative impact on the immune responses. The potent opioids fentanyl and buprenorphine have recently become available as transdermal preparation for the treatment of chronic pain. We analyze the effect of fentanyl and buprenorphine on splenic cellular immune responses in the mouse. The ...

    journal_title:Pain

    pub_type: 杂志文章

    doi:10.1016/j.pain.2004.04.020

    authors: Martucci C,Panerai AE,Sacerdote P

    更新日期:2004-07-01 00:00:00

  • Problems of long-term spinal opioid treatment in advanced cancer patients.

    abstract::Epidural and intrathecal techniques are well established techniques in cancer pain. However, several questions remain unresolved. The several problems of long-term spinal opioid treatment in advance cancer patients were reviewed. Indications for the use of spinal opioids include patients treated by systemic opioids wi...

    journal_title:Pain

    pub_type: 杂志文章,评审

    doi:10.1016/S0304-3959(98)00118-3

    authors: Mercadante S

    更新日期:1999-01-01 00:00:00

  • MMPIP, an mGluR7-selective negative allosteric modulator, alleviates pain and normalizes affective and cognitive behavior in neuropathic mice.

    abstract::This study investigated the effects of a single administration of 6-(4-methoxyphenyl)-5-methyl-3-pyridinyl-4-isoxazolo[4,5-c]pyridin-4(5H)-one (MMPIP), a negative allosteric modulator (NAM) of metabotropic glutamate receptor 7 (mGluR7), on pain and on affective and cognitive behavior in neuropathic mice. The activity ...

    journal_title:Pain

    pub_type: 杂志文章

    doi:10.1097/j.pain.0000000000000150

    authors: Palazzo E,Romano R,Luongo L,Boccella S,De Gregorio D,Giordano ME,Rossi F,Marabese I,Scafuro MA,de Novellis V,Maione S

    更新日期:2015-06-01 00:00:00

  • High cortical delta power correlates with aggravated allodynia by activating anterior cingulate cortex GABAergic neurons in neuropathic pain mice.

    abstract::Patients with chronic pain often report being sensitive to pain at night before falling asleep, a time when the synchronization of cortical activity is initiated. However, how cortical activity relates to pain sensitivity is still unclear. Because sleep is characterized by enhanced cortical delta power, we hypothesize...

    journal_title:Pain

    pub_type: 杂志文章

    doi:10.1097/j.pain.0000000000001725

    authors: Li YD,Ge J,Luo YJ,Xu W,Wang J,Lazarus M,Hong ZY,Qu WM,Huang ZL

    更新日期:2020-02-01 00:00:00

  • Sex differences in amino acid release from rostral trigeminal subnucleus caudalis after acute injury to the TMJ region.

    abstract::The neurological basis for painful temporomandibular disorders (TMD) and the higher prevalence of TMD pain in women than men is not known. To better define the circuitry and neurochemical mechanisms in the lower brainstem associated with noxious sensory inputs from the temporomandibular joint (TMJ) region a microdialy...

    journal_title:Pain

    pub_type: 杂志文章

    doi:10.1016/s0304-3959(01)00476-6

    authors: Bereiter DA,Shen S,Benetti AP

    更新日期:2002-07-01 00:00:00

  • Hemibody pain relieved by microvascular decompression of the contralateral caudal medulla: case report.

    abstract::Microvascular decompression (MVD) of cranial nerves has become an established treatment for trigeminal and (vago)glossopharyngeal neuralgia and for hemifacial spasm. The authors present the case of a 64-year-old man who had a 3.5-year history of severe, drug-resistant hemibody pain with sensory and autonomic disturban...

    journal_title:Pain

    pub_type: 杂志文章

    doi:10.1016/j.pain.2014.04.023

    authors: Simpson BA,Amato-Watkins A,Hourihan MD

    更新日期:2014-08-01 00:00:00

  • Cooperation of NMDA and tachykinin NK(1) and NK(2) receptors in the medullary transmission of vagal afferent input from the acid-threatened rat stomach.

    abstract::Noxious challenge of the rat gastric mucosa by hydrochloric acid (HCl) is signaled to the nucleus tractus solitarii (NTS) and area postrema (AP). This study examined the participation of glutamate and tachykinins in the medullary transmission process. Activation of neurons was visualized by in situ hybridization autor...

    journal_title:Pain

    pub_type: 杂志文章

    doi:10.1016/s0304-3959(00)00357-2

    authors: Jocic M,Schuligoi R,Schöninkle E,Pabst MA,Holzer P

    更新日期:2001-01-01 00:00:00

  • The acquisition and generalization of cued and contextual pain-related fear: an experimental study using a voluntary movement paradigm.

    abstract::Recent evidence indicates that pain-related fear can be acquired through associative learning. In the clinic, however, spreading of fear and avoidance is observed beyond movements/activities that were associated with pain during the original pain episode. One mechanism accounting for this spreading of fear is stimulus...

    journal_title:Pain

    pub_type: 杂志文章

    doi:10.1016/j.pain.2012.10.025

    authors: Meulders A,Vlaeyen JWS

    更新日期:2013-02-01 00:00:00

  • Substance dependence and chronic pain: profile of 50 patients treated in an alcohol and drug dependence unit.

    abstract::Fifty adult patients with chronic pain and substance dependence were admitted to an inpatient unit for treatment of addiction without primary emphasis on treatment of pain. As a group they had received considerable medical attention for their pain, but relatively little for their addictions. When compared with a group...

    journal_title:Pain

    pub_type: 杂志文章

    doi:10.1016/0304-3959(86)90072-2

    authors: Finlayson RE,Maruta T,Morse RM,Swenson WM,Martin MA

    更新日期:1986-08-01 00:00:00

  • Factors that influence the behavioral pain responses of premature infants.

    abstract::The responses of preterm neonates to acute tissue-damaging stimuli have been described. However, factors which influence these responses have received little attention. In this study, we observed 124 premature infants before, during and after a routine heel lance and determined how two contextual variables (severity o...

    journal_title:Pain

    pub_type: 临床试验,杂志文章

    doi:10.1016/0304-3959(94)90053-1

    authors: Stevens BJ,Johnston CC,Horton L

    更新日期:1994-10-01 00:00:00

  • The role of developmental factors in predicting young children's use of a self-report scale for pain.

    abstract::Accurate pain assessment is the foundation for effective pain management in children. At present, there is no clear consensus regarding the age at which young children are able to appropriately use self-report scales for pain. This study examined young children's ability to use the Faces Pain Scale-Revised; (FPS-R; [H...

    journal_title:Pain

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/j.pain.2005.10.004

    authors: Stanford EA,Chambers CT,Craig KD

    更新日期:2006-01-01 00:00:00

  • Sensitivity of patients with painful temporomandibular disorders to experimentally evoked pain: evidence for altered temporal summation of pain.

    abstract::Temporomandibular disorders (TMD) represent a group of chronic painful conditions involving the muscles of mastication and the temporomandibular joint. Several studies have reported that TMD is associated with enhanced sensitivity to experimental pain. Twenty-three TMD subjects and 24 pain-free matched control subject...

    journal_title:Pain

    pub_type: 临床试验,杂志文章

    doi:10.1016/s0304-3959(98)00028-1

    authors: Maixner W,Fillingim R,Sigurdsson A,Kincaid S,Silva S

    更新日期:1998-05-01 00:00:00

  • Reflex sympathetic dystrophy: evolution of microcirculatory disturbances in time.

    abstract::Reflex sympathetic dystrophy (RSD) is a pain syndrome that is characterised by autonomic, motor and sensory disturbances. The syndrome has often been associated with sympathetic dysfunction. Therefore, we investigated whether there are disturbances in the sympathetic function of skin microcirculation in the various cl...

    journal_title:Pain

    pub_type: 杂志文章

    doi:10.1016/0304-3959(94)00133-y

    authors: Kurvers HA,Jacobs MJ,Beuk RJ,Van den Wildenberg FA,Kitslaar PJ,Slaaf DW,Reneman RS

    更新日期:1995-03-01 00:00:00

  • Functional differences between neurochemically defined populations of inhibitory interneurons in the rat spinal dorsal horn.

    abstract::In order to understand how nociceptive information is processed in the spinal dorsal horn we need to unravel the complex synaptic circuits involving interneurons, which constitute the vast majority of the neurons in laminae I-III. The main limitation has been the difficulty in defining functional populations among the...

    journal_title:Pain

    pub_type: 杂志文章

    doi:10.1016/j.pain.2013.05.001

    authors: Polgár E,Sardella TCP,Tiong SYX,Locke S,Watanabe M,Todd AJ

    更新日期:2013-12-01 00:00:00

  • Spinal brain-derived neurotrophic factor (BDNF) produces hyperalgesia in normal mice while antisense directed against either BDNF or trkB, prevent inflammation-induced hyperalgesia.

    abstract::Although known primarily for its role in neuronal development, brain-derived neurotrophic factor (BDNF) has also recently been implicated in processes mediated by the adult nervous system, such as spinal nociception. Peripheral inflammation increases expression of BDNF preferentially in dorsal root ganglion cells that...

    journal_title:Pain

    pub_type: 杂志文章

    doi:10.1016/s0304-3959(02)00264-6

    authors: Groth R,Aanonsen L

    更新日期:2002-11-01 00:00:00

  • Patterns of recovery from pain after cesarean delivery.

    abstract::We know very little about the change in pain in the first 2 months after surgery. To address this gap, we studied 530 women scheduled for elective cesarean delivery who completed daily pain diaries for 2 months after surgery through text messaging. Over 82% of subjects missed fewer than 10 diary entries and were inclu...

    journal_title:Pain

    pub_type: 杂志文章

    doi:10.1097/j.pain.0000000000001313

    authors: Booth JL,Sharpe EE,Houle TT,Harris L,Curry RS,Aschenbrenner CA,Eisenach JC

    更新日期:2018-10-01 00:00:00

  • Effects of subcutaneous administration of glutamate on pain, sensitization and vasomotor responses in healthy men and women.

    abstract::The present study aimed to investigate if (1) subcutaneous injection of glutamate induces pain, sensitization and vasomotor responses in humans and (2) if sex differences exist in these responses. Thirty healthy volunteers (men-15 and women-15) were included. Each subject received four subcutaneous injections (0.1ml; ...

    journal_title:Pain

    pub_type: 杂志文章

    doi:10.1016/j.pain.2006.06.015

    authors: Gazerani P,Wang K,Cairns BE,Svensson P,Arendt-Nielsen L

    更新日期:2006-10-01 00:00:00

  • Effects of purinergic and adrenergic antagonists in a rat model of painful peripheral neuropathy.

    abstract::In previous studies, pain behaviors produced in the spinal nerve ligation rat model of neuropathic pain were partly reduced by surgical lumbar sympathectomy. However, systemic injection of phentolamine, an alpha-adrenoceptor blocker, was not effective in reducing pain behaviors, at least in the Sprague-Dawley strain o...

    journal_title:Pain

    pub_type: 杂志文章

    doi:10.1016/S0304-3959(00)00277-3

    authors: Park SK,Chung K,Chung JM

    更新日期:2000-08-01 00:00:00

  • The expression of pain in infants and toddlers: developmental changes in facial action.

    abstract::Age-related changes in the facial expression of pain during the first 18 months of life have important implications for our understanding of pain and pain assessment. We examined facial reactions video recorded during routine immunization injections in 75 infants stratified into 2-, 4-, 6-, 12-, and 18-month age group...

    journal_title:Pain

    pub_type: 临床试验,杂志文章

    doi:10.1016/s0304-3959(97)00034-1

    authors: Lilley CM,Craig KD,Grunau RE

    更新日期:1997-08-01 00:00:00

  • Using the McGill Pain Questionnaire to study common postoperative complications.

    abstract::For many individuals undergoing routine surgical procedures, their satisfaction with the operation may depend upon their postoperative experience. We used the McGill Pain Questionnaire and the McGill Nausea Questionnaire to study the intensity of 5 common postoperative problems--sore throat, muscle pain, headache, bac...

    journal_title:Pain

    pub_type: 杂志文章

    doi:10.1016/0304-3959(89)90040-7

    authors: Cohen MM,Tate RB

    更新日期:1989-12-01 00:00:00

  • Phantom urinary bladder pain--case report.

    abstract::Phantom urinary phenomena are a relatively rare disease entity. Literature search has revealed only one case following cystectomy, seven cases following spinal cord injury and several other cases in hemodialysis patients. This report presents a case of painful phantom bladder following cystectomy for chronic kidney an...

    journal_title:Pain

    pub_type: 杂志文章

    doi:10.1016/0304-3959(79)90011-3

    authors: Brena SF,Sammons EE

    更新日期:1979-10-01 00:00:00

  • Ketanserin in reflex sympathetic dystrophy. A double-blind placebo controlled cross-over trial.

    abstract::Ketanserin, a selective S2 serotonergic antagonist, was assessed against placebo in a double-blind cross-over study of 16 patients with chronic peripheral burning pain. Nine of these had signs of reflex sympathetic dystrophy (RSD). All patients underwent 4 intravenous regional treatments, 2 with ketanserin (10 mg for ...

    journal_title:Pain

    pub_type: 临床试验,杂志文章

    doi:10.1016/0304-3959(89)90232-7

    authors: Hanna MH,Peat SJ

    更新日期:1989-08-01 00:00:00

  • Reactive oxygen species affect spinal cell type-specific synaptic plasticity in a model of neuropathic pain.

    abstract::Spinal synaptic plasticity is believed to drive central sensitization that underlies the persistent nature of neuropathic pain. Our recent data showed that synaptic plasticity in the dorsal horn is cell type specific: intense afferent stimulation produced long-term potentiation (LTP) in excitatory spinothalamic tract ...

    journal_title:Pain

    pub_type: 杂志文章

    doi:10.1097/j.pain.0000000000001014

    authors: Bittar A,Jun J,La JH,Wang J,Leem JW,Chung JM

    更新日期:2017-11-01 00:00:00

  • Cancer breakthrough pain characteristics and responses to treatment at a VA medical center.

    abstract::The purpose of this study is to analyze cancer breakthrough pain (BP) characteristics and how BP responds to conventional cancer pain management. Seventy-four cancer pain patients with worst pain severity >or=4 out of 10 completed the Brief Pain Inventory (BPI), Memorial Symptom Assessment Scale-Short Form, Functional...

    journal_title:Pain

    pub_type: 临床试验,杂志文章

    doi:10.1016/s0304-3959(02)00293-2

    authors: Hwang SS,Chang VT,Kasimis B

    更新日期:2003-01-01 00:00:00

  • Chronic back pain: electromyographic, motion and behavioral assessments following sympathetic nerve blocks and placebos.

    abstract::Twenty patients with chronic low back pain received 12 lumbar sympathetic injections, in a series of 6 with bupivacaine and a series of 6 with saline. Changes in subjective pain intensity, EMG from paravertebral muscles, joint ranges of mobility, and daily activity levels were measured at multiple intervals throughout...

    journal_title:Pain

    pub_type: 临床试验,杂志文章

    doi:10.1016/0304-3959(80)90085-8

    authors: Brena SF,Wolf SL,Chapman SL,Hammonds WD

    更新日期:1980-02-01 00:00:00

  • Dissociated secondary hyperalgesia in a subject with a large-fibre sensory neuropathy.

    abstract::In the skin surrounding a site of injury, hyperalgesia develops to mechanical stimuli. Two types of secondary hyperalgesia (to light touch and punctate stimuli) have recently been differentiated, based on different durations and sizes of the area involved. We studied secondary hyperalgesia in a subject who had a loss ...

    journal_title:Pain

    pub_type: 杂志文章

    doi:10.1016/0304-3959(93)90077-3

    authors: Treede RD,Cole JD

    更新日期:1993-05-01 00:00:00

  • Mechanisms of association between obesity and chronic pain in the elderly.

    abstract::Chronic pain is more common in the elderly and impairs functioning and quality of life. Though obesity, defined by body mass index (BMI), has been associated with pain prevalence among older adults, the mechanism of this association remains unclear. We examined components of the metabolic syndrome, insulin resistance,...

    journal_title:Pain

    pub_type: 杂志文章

    doi:10.1016/j.pain.2010.08.043

    authors: Ray L,Lipton RB,Zimmerman ME,Katz MJ,Derby CA

    更新日期:2011-01-01 00:00:00