<?xml version="1.0" encoding="UTF-8"?><?xml-stylesheet type="text/xsl" href="static/style.xsl"?><OAI-PMH xmlns="http://www.openarchives.org/OAI/2.0/" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.openarchives.org/OAI/2.0/ http://www.openarchives.org/OAI/2.0/OAI-PMH.xsd"><responseDate>2026-05-31T01:40:38Z</responseDate><request verb="GetRecord" identifier="oai:riuma.uma.es:10630/41310" metadataPrefix="qdc">https://riuma.uma.es/rest/oai/request</request><GetRecord><record><header><identifier>oai:riuma.uma.es:10630/41310</identifier><datestamp>2026-02-03T11:29:44Z</datestamp><setSpec>com_10630_2254</setSpec><setSpec>col_10630_37953</setSpec></header><metadata><qdc:qualifieddc xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:dcterms="http://purl.org/dc/terms/" xmlns:doc="http://www.lyncode.com/xoai" xmlns:qdc="http://dspace.org/qualifieddc/" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://purl.org/dc/elements/1.1/ http://dublincore.org/schemas/xmls/qdc/2006/01/06/dc.xsd http://purl.org/dc/terms/ http://dublincore.org/schemas/xmls/qdc/2006/01/06/dcterms.xsd http://dspace.org/qualifieddc/ http://www.ukoln.ac.uk/metadata/dcmi/xmlschema/qualifieddc.xsd">
   <dc:title>Pain acceptance and pain-related disability predict healthcare utilization and medication intake in patients wwith non-specific chronic spinal pain</dc:title>
   <dc:creator>Esteve-Zarazaga, Rosa</dc:creator>
   <dc:creator>López-Martínez, Alicia Eva</dc:creator>
   <dc:creator>Ruiz-Párraga, Gema Teresa</dc:creator>
   <dc:creator>Serrano-Ibáñez, Elena Rocío</dc:creator>
   <dc:creator>Ramírez-Maestre, María del Carmen</dc:creator>
   <dcterms:abstract>Longitudinal research is needed to determine predictive factors of healthcare utilization and&#xd;
medication intake in people with non-specific spinal pain. This study aims to prospectively examine&#xd;
the predictive value of sex, age, work status, pain intensity, pain acceptance, disability, depression,&#xd;
pain anxiety, and catastrophizing in relation to healthcare utilization and medication intake in people&#xd;
with non-specific spinal pain. Participants were 79 patients with non-specific spinal pain of 6 to 9&#xd;
months’ duration. They were followed-up at 6 months and 12 months. At enrolment they were&#xd;
administered a battery of questionnaires assessing the predictive variables. Healthcare utilization and&#xd;
medication intake were assessed at follow-ups 1 and 2. At follow-up 1, higher pain acceptance was&#xd;
associated with less healthcare utilization and less medication intake, while male sex was associated&#xd;
with less medication intake. At follow-up 2, higher pain-related disability was associated with&#xd;
higher healthcare use, and pain intensity was associated with higher medication intake. These results&#xd;
suggest that during the early stages of non-specific spinal pain chronification, pain acceptance and&#xd;
the avoidance of pain-related disability—understood as giving up normal activities—can lead to&#xd;
reductions in healthcare utilization and medication intake</dcterms:abstract>
   <dcterms:dateAccepted>2026-01-07T11:09:39Z</dcterms:dateAccepted>
   <dcterms:available>2026-01-07T11:09:39Z</dcterms:available>
   <dcterms:created>2026-01-07T11:09:39Z</dcterms:created>
   <dcterms:issued>2020</dcterms:issued>
   <dc:type>journal article</dc:type>
   <dc:identifier>Esteve, R.; López-Martínez, A.E.; Ruiz-Párraga, G.T.; Serrano-Ibáñez, E.R.; Ramírez-Maestre, C. (2020). Pain acceptance and pain-related disability predict healthcare utilization and medication intake in patients wwith non-specific chronic spinal pain. International Journal of Enviromental Research and Public Health, 17, 5556</dc:identifier>
   <dc:identifier>https://hdl.handle.net/10630/41310</dc:identifier>
   <dc:identifier>10.3390/ijerph17155556</dc:identifier>
   <dc:language>eng</dc:language>
   <dc:rights>http://creativecommons.org/licenses/by-nc-nd/4.0/</dc:rights>
   <dc:rights>open access</dc:rights>
   <dc:rights>Attribution-NonCommercial-NoDerivatives 4.0 Internacional</dc:rights>
   <dc:publisher>MDPI</dc:publisher>
</qdc:qualifieddc>
</metadata></record></GetRecord></OAI-PMH>