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Scandinavian Journal of Pain

Official Journal of the Scandinavian Association for the Study of Pain

Editor-in-Chief: Werner, Mads


CiteScore 2018: 0.85

SCImago Journal Rank (SJR) 2018: 0.494
Source Normalized Impact per Paper (SNIP) 2018: 0.427

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1877-8879
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Volume 16, Issue 1

Issues

The association between pain characteristics, pain catastrophizing and health care use – Baseline results from the SWEPAIN cohort

Anna Jöud
  • Corresponding author
  • Division of Occupational and Environmental Medicine, Department of Laboratory Medicine Lund, Lund University, Lund, Sweden
  • Email
  • Other articles by this author:
  • De Gruyter OnlineGoogle Scholar
/ Jonas Björk
  • Division of Occupational and Environmental Medicine, Department of Laboratory Medicine Lund, Lund University, Lund, Sweden
  • Other articles by this author:
  • De Gruyter OnlineGoogle Scholar
/ Björn Gerdle
  • Pain and Rehabilitation Centre, Department of Medical and Health Sciences, Linköping University, Linköping, Sweden
  • Other articles by this author:
  • De Gruyter OnlineGoogle Scholar
/ Anna Grimby-Ekman
  • Pain and Rehabilitation Centre, Department of Medical and Health Sciences, Linköping University, Linköping, Sweden
  • Health Metrics, University of Gothenburg, Gothenburg, Sweden
  • Other articles by this author:
  • De Gruyter OnlineGoogle Scholar
/ Britt Larsson
  • Pain and Rehabilitation Centre, Department of Medical and Health Sciences, Linköping University, Linköping, Sweden
  • Other articles by this author:
  • De Gruyter OnlineGoogle Scholar
Published Online: 2017-07-01 | DOI: https://doi.org/10.1016/j.sjpain.2017.04.071

Abstract

Background and aim

Pain is common and adds to the global burden of disease. However, individuals suffering from pain are a heterogeneous group in terms of pain spreading, intensity and duration. While pain influences overall health care consultation not everyone with pain consult health care. To be able to provide health care matching the patients’ needs increased knowledge about what factors determines the decision to consult health care is essential. The aim of this study was to explore the combined importance of pain spreading, intensity, duration and pain catastrophizing for consulting health care.

Methods

In this cross-sectional study we used population based survey data from southeast Sweden (SWEPAIN) including 7792 individuals’ aged 16–85 reporting pain. We used Modified Poisson regressions to analyse factors of importance related to the decision to consult health care.

Results

High and moderate pain intensity, as compared to low, increases the probability of consulting health care (High PR = 1.7 [95% CI 1.51–1.88], moderate PR = 1.2 [1.15–1.41]). Having widespread pain, as compared to localised pain, increased the probability of consulting health (PR = 1.2 [1.03–1.36). Pain duration was not associated with increased probability of consulting health care (PR = 1.0 CI0.88–1.07). However an interaction (p = 0.05) between pain duration and pain catastrophizing beliefs was seen indicating a combined importance of the two when consulting health care.

Conclusion

Our result suggests that pain intensity, pain spreading and pain catastrophizing independently influence the decision to consult health care while there is an interaction effect between pain duration and pain catastrophizing beliefs where the importance of pain catastrophizing believes differ with pain duration; the importance of pain catastrophizing believes differ with pain duration.

Implications

Treatment and rehabilitation strategies should incorporate this finding in order to meet the individual’s needs focusing on the biopsychosocial model within health care focusing not only on actual pain reliefs but also on for example acceptance and behavioural changes.

Keywords: Chronic pain; Pain catastrophizing; Health care utilisation

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About the article

Unit for Environmental Epidemiology, Lund University, 221 85 Lund, Sweden.


Received: 2017-01-13

Revised: 2017-04-27

Accepted: 2017-04-30

Published Online: 2017-07-01

Published in Print: 2017-07-01


Ethical issues: All participants gave their informed consent to take part in the study. Data were collected by Statistics Sweden on behalf of Linköping University. The study was approved by the local ethics committee of Linköping University, Sweden, Dnr 2011 72/31.

Conflicts of interest: The author declares no conflict of interests.

Funding: The Swedish Pain Foundation, Linköping University and The Medical Research Council of Southeast Sweden, SIMSAM Lund funded by the Swedish Research council contributed financially to this study. The funding body did not take part in the collection, analysis, and interpretation of data, in the writing of the manuscript, or in the decision to submit the manuscript for publication.


Citation Information: Scandinavian Journal of Pain, Volume 16, Issue 1, Pages 122–128, ISSN (Online) 1877-8879, ISSN (Print) 1877-8860, DOI: https://doi.org/10.1016/j.sjpain.2017.04.071.

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