The Relationship between Cognitive and Emotional Factors and Healthcare and Medication Use in People Experiencing Pain: A Systematic Review

被引：23

作者：

Huysmans, Eva ^{[1
,2
,3
,4
,5
]}

Leemans, Lynn ^{[2
,6
]}

Beckwee, David ^{[6
]}

Nijs, Jo ^{[2
,4
]}

Ickmans, Kelly ^{[1
,2
,4
]}

Moens, Maarten ^{[7
,8
,9
]}

Goudman, Lisa ^{[7
,8
]}

Buyl, Ronald ^{[3
,10
]}

Putman, Koen ^{[3
,5
]}

Coppieters, Iris ^{[2
,4
,11
]}

机构：

[1] Res Fdn Flanders FWO, Egmontstr 5, B-1000 Brussels, Belgium

[2] Vrije Univ Brussel, Pain Motion Res Grp PAIN, Dept Physiotherapy Human Physiol & Anat, Fac Phys Educ & Physiotherapy KIMA, Laarbeeklaan 103, B-1090 Brussels, Belgium

[3] Vrije Univ Brussel, Fac Med & Pharm, Dept Publ Hlth GEWE, Laarbeeklaan 103, B-1090 Brussels, Belgium

[4] Univ Ziekenhuis Brussel, Dept Phys Med & Physiotherapy, Laarbeeklaan 101, B-1090 Brussels, Belgium

[5] Interuniv Ctr Hlth Econ Res I CHER, Laarbeeklaan 103, B-1090 Brussels, Belgium

[6] Vrije Univ Brussel, Fac Phys Educ & Physiotherapy KIMA, Dept Physiotherapy Human Physiol & Anat, Rehabil Res RERE Res Grp, Laarbeeklaan 103, B-1090 Brussels, Belgium

[7] Univ Ziekenhuis Brussel, Dept Neurosurg, Laarbeeklaan 101, B-1090 Brussels, Belgium

[8] Vrije Univ Brussel, Fac Med & Pharm, Ctr Neurosci, Laarbeeklaan 103, B-1090 Brussels, Belgium

[9] Univ Ziekenhuis Brussel, Dept Radiol, Laarbeeklaan 101, B-1090 Brussels, Belgium

[10] Vrije Univ Brussel, Fac Med & Pharm, Dept Biostat & Med Informat, Laarbeeklaan 103, B-1090 Jette, Belgium

[11] Univ Ghent, Dept Rehabil Sci, Fac Med & Hlth Sci, De Pintelaan 185, B-9000 Ghent, Belgium

来源：

JOURNAL OF CLINICAL MEDICINE | 2020年 / 9卷 / 08期

关键词：

healthcare use; pain; cognitions; emotions; health seeking behavior; SICKLE-CELL-DISEASE; QUALITY-OF-LIFE; LOW-BACK-PAIN; RANDOMIZED-CONTROLLED-TRIAL; NONCARDIAC CHEST-PAIN; ALTERNATIVE MEDICINE USE; CHRONIC NONCANCER PAIN; FEAR-AVOIDANCE MODEL; ILLNESS PERCEPTIONS; NEUROPHYSIOLOGY EDUCATION;

D O I：

10.3390/jcm9082486

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Pain conditions are among the leading causes of global disability, impacting on global healthcare utilization (HCU). Health seeking behavior might be influenced by cognitive and emotional factors (CEF), which can be tackled by specific therapies. The purpose of this study was to systematically review the evidence concerning associations between CEF and HCU in people experiencing pain. Three databases were consulted: PubMed, Web of Science and EconLit. Risk of bias was assessed using the Downs and Black Checklist (modified). A total of 90 publications (total sample n = 59,719) was included after double-blind screening. In people experiencing pain, positive associations between general anxiety symptoms, depressive symptoms and catastrophizing and pain medication use were found. Additionally, there appears to be a relationship between general anxiety and depressive symptoms and opioid use. Symptom-related anxiety and psychological distress were found to be positively related with consulting behavior. Last, a positive association between use of complementary and alternative medicine and level of perceived symptom control was confirmed in people with pain. For other relationships no evidence or inconsistent findings were found, or they were insufficiently studied to draw firm conclusions, indicating that more research on this topic is needed.

引用

页码：1 / 92

页数：92

共 167 条

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