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

Overview

Journal J Clin Med

Specialty General Medicine

Date 2020 Aug 7

PMID 32756298

Citations 7

Authors

Eva Huysmans

Lynn Leemans

David Beckwee

Jo Nijs

Kelly Ickmans

Maarten Moens

Lisa Goudman

Ronald Buyl

Koen Putman

Iris Coppieters

Affiliations

Soon will be listed here.

Abstract

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.

Citing Articles

Pain neuroscience education improves post-traumatic stress disorder, disability, and pain self-efficacy in veterans and service members with chronic low back pain: Preliminary results from a randomized controlled trial with 12-month follow-up.

Benedict T, Nitz A, Gambrel M, Louw A Mil Psychol. 2024; 36(4):376-392.

PMID: 38913769 PMC: 11197901. DOI: 10.1080/08995605.2023.2188046.

Indication for spinal sensitization in chronic low back pain: mechanical hyperalgesia adjacent to but not within the most painful body area.

Sirucek L, De Schoenmacker I, Scheuren P, Lutolf R, Gorrell L, Langenfeld A Pain Rep. 2024; 9(4):e1166.

PMID: 38910867 PMC: 11191021. DOI: 10.1097/PR9.0000000000001166.

"Catastrophization", Its Weaponization, and Opiophobia: A Perfect Landscape for Unnecessary Harms, or "Catastrophization About Catastrophization"?.

Schatman M, Levin D J Pain Res. 2024; 17:171-175.

PMID: 38204580 PMC: 10778136. DOI: 10.2147/JPR.S453155.

Exploring Associations between Healthcare Use and Demographics, Pain and Pain Cognitions in People Scheduled for Surgery for Lumbar Radiculopathy: A Cross-Sectional Study.

Huysmans E, Goudman L, Coppieters I, Malfliet A, Van Bogaert W, Nijs J J Clin Med. 2023; 12(1).

PMID: 36615190 PMC: 9821086. DOI: 10.3390/jcm12010388.

A Novel Method for Digital Pain Assessment Using Abstract Animations: Human-Centered Design Approach.

Rao N, Perdomo S, Jonassaint C JMIR Hum Factors. 2022; 9(1):e27689.

PMID: 34994697 PMC: 8783278. DOI: 10.2196/27689.

References

Lentz T, Beneciuk J, George S . Prediction of healthcare utilization following an episode of physical therapy for musculoskeletal pain. BMC Health Serv Res. 2018; 18(1):648. PMC: 6102917. DOI: 10.1186/s12913-018-3470-6. View

Kennedy P, Joshi R, Dhawan A . The Effect of Psychosocial Factors on Outcomes in Patients With Rotator Cuff Tears: A Systematic Review. Arthroscopy. 2019; 35(9):2698-2706. DOI: 10.1016/j.arthro.2019.03.043. View

Musey Jr P, Patel R, Fry C, Jimenez G, Koene R, Kline J . Anxiety Associated With Increased Risk for Emergency Department Recidivism in Patients With Low-Risk Chest Pain. Am J Cardiol. 2018; 122(7):1133-1141. DOI: 10.1016/j.amjcard.2018.06.044. View

Louw PT PhD A, Zimney PT DPT K, Reed PT DPT J, Landers PT DPT PhD M, Puentedura PT DPT PhD E . Immediate preoperative outcomes of pain neuroscience education for patients undergoing total knee arthroplasty: A case series. Physiother Theory Pract. 2018; 35(6):543-553. DOI: 10.1080/09593985.2018.1455120. View

Hill S, Dziedzic K, Thomas E, Baker S, Croft P . The illness perceptions associated with health and behavioural outcomes in people with musculoskeletal hand problems: findings from the North Staffordshire Osteoarthritis Project (NorStOP). Rheumatology (Oxford). 2007; 46(6):944-51. DOI: 10.1093/rheumatology/kem015. View

Demmelmaier I, Asenlof P, Lindberg P, Denison E . Biopsychosocial predictors of pain, disability, health care consumption, and sick leave in first-episode and long-term back pain: a longitudinal study in the general population. Int J Behav Med. 2009; 17(2):79-89. DOI: 10.1007/s12529-009-9055-3. View

McCracken L, Vowles K . Psychological flexibility and traditional pain management strategies in relation to patient functioning with chronic pain: an examination of a revised instrument. J Pain. 2007; 8(9):700-7. DOI: 10.1016/j.jpain.2007.04.008. View

Freke M, Kemp J, Svege I, Risberg M, Semciw A, Crossley K . Physical impairments in symptomatic femoroacetabular impingement: a systematic review of the evidence. Br J Sports Med. 2016; 50(19):1180. DOI: 10.1136/bjsports-2016-096152. View

Villani V, Di Stani F, Vanacore N, Scattoni L, Cerbo R, Bruti G . The "repeater" phenomenon in migraine patients: a clinical and psychometric study. Headache. 2009; 50(3):348-56. DOI: 10.1111/j.1526-4610.2009.01585.x. View

10.

Nielsen S, Lintzeris N, Bruno R, Campbell G, Larance B, Hall W . Benzodiazepine use among chronic pain patients prescribed opioids: associations with pain, physical and mental health, and health service utilization. Pain Med. 2014; 16(2):356-66. DOI: 10.1111/pme.12594. View

11.

Elander J, Barry T . Analgesic use and pain coping among patients with haemophilia. Haemophilia. 2003; 9(2):202-13. DOI: 10.1046/j.1365-2516.2003.00723.x. View

12.

Sallis J, Prochaska J, Taylor W . A review of correlates of physical activity of children and adolescents. Med Sci Sports Exerc. 2000; 32(5):963-75. DOI: 10.1097/00005768-200005000-00014. View

13.

Harden R, Bruehl S, Siegler J, Cole P . Pain, psychological status, and functional recovery in chronic pain patients on daily opioids: a case comparison. J Back Musculoskelet Rehabil. 2014; 9(2):101-8. DOI: 10.3233/BMR-1997-9203. View

14.

Gil K, Abrams M, Phillips G, Williams D . Sickle cell disease pain: 2. Predicting health care use and activity level at 9-month follow-up. J Consult Clin Psychol. 1992; 60(2):267-73. DOI: 10.1037//0022-006x.60.2.267. View

15.

Philpot L, Ramar P, Elrashidi M, Sinclair T, Ebbert J . A Before and After Analysis of Health Care Utilization by Patients Enrolled in Opioid Controlled Substance Agreements for Chronic Noncancer Pain. Mayo Clin Proc. 2018; 93(10):1431-1439. DOI: 10.1016/j.mayocp.2018.05.008. View

16.

Lozano-Calderon S, Souer J, Jupiter J, Ring D . Psychological differences between patients that elect operative or nonoperative treatment for trapeziometacarpal joint arthrosis. Hand (N Y). 2008; 3(3):271-5. PMC: 2525886. DOI: 10.1007/s11552-008-9098-y. View

17.

Jensen M, Turner J, Romano J . Correlates of improvement in multidisciplinary treatment of chronic pain. J Consult Clin Psychol. 1994; 62(1):172-9. DOI: 10.1037//0022-006x.62.1.172. View

18.

Hadlandsmyth K, Rosenbaum D, Craft J, Gervino E, White K . Health care utilisation in patients with non-cardiac chest pain: a longitudinal analysis of chest pain, anxiety and interoceptive fear. Psychol Health. 2013; 28(8):849-61. PMC: 3654063. DOI: 10.1080/08870446.2012.762100. View

19.

Rosenberg E, Genao I, Chen I, Mechaber A, Wood J, Faselis C . Complementary and alternative medicine use by primary care patients with chronic pain. Pain Med. 2008; 9(8):1065-72. DOI: 10.1111/j.1526-4637.2008.00477.x. View

20.

Harding K, Day M, Ehde D, Wood A, McCall A, Williams R . Mental and Physical Health Correlates of Pain Treatment Utilization Among Veterans With Chronic Pain: A Cross-sectional Study. Mil Med. 2018; 184(3-4):e127-e134. PMC: 6400143. DOI: 10.1093/milmed/usy235. View