| Concerns about medication and medication adherence in patients with chronic pain recruited from general practice. | |
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MedLine Citation:
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PMID: 21376463 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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This study examines the concerns and beliefs about medication reported by patients with nonmalignant chronic pain encountered within general practice. Two hundred thirty-nine patients with chronic pain took part in this research. Patients completed the Pain Medication Attitudes Questionnaire, a measure of patient concerns and beliefs relating to addiction, withdrawal, side effects, mistrust in doctors, perceived need of medication, scrutiny from others, and tolerance. The data revealed that patient concerns and beliefs predicted general medication nonadherence. In addition, concerns were related to the direction of nonadherence: overuse of medication was related to increased perceived need for medication and greater concern over side effects; underuse was related to decreased concerns over withdrawal and increased mistrust in the prescribing doctor. Analyses also indicated that patient attitudes and concerns about medication were more predictive of nonadherence than both level of pain and the reported frequency of experienced side effects. This research contributes to the increasing evidence that patient attitudes and beliefs about pain medication are associated with adherence behavior. Training general practitioners to identify and address these concerns may reduce concerns, improve adherence, and facilitate the doctor-patient relationship. |
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Authors:
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Benjamin A Rosser; Lance M McCracken; Sophie C Velleman; Charlotte Boichat; Christopher Eccleston |
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Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't Date: 2011-03-03 |
Journal Detail:
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Title: Pain Volume: 152 ISSN: 1872-6623 ISO Abbreviation: Pain Publication Date: 2011 May |
Date Detail:
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Created Date: 2011-04-18 Completed Date: 2011-08-23 Revised Date: 2012-04-18 |
Medline Journal Info:
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Nlm Unique ID: 7508686 Medline TA: Pain Country: Netherlands |
Other Details:
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Languages: eng Pagination: 1201-5 Citation Subset: IM |
Copyright Information:
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Copyright © 2011 International Association for the Study of Pain. Published by Elsevier B.V. All rights reserved. |
Affiliation:
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Bath Centre for Pain Research, University of Bath, Bath, UK. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Aged, 80 and over Analgesics / therapeutic use Chronic Disease Female General Practice / statistics & numerical data* Health Knowledge, Attitudes, Practice Humans Male Medication Adherence / psychology* Middle Aged Pain / drug therapy, psychology* Questionnaires Regression Analysis |
| Chemical | |
Reg. No./Substance:
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0/Analgesics |
| Comments/Corrections | |
Comment In:
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Evid Based Nurs. 2012 Apr;15(2):42-3
[PMID:
22108563
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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