Conducta Del Enfermo Ante El Dolor Cronico

Illness Behavior in Chronic Pain

Published in: Salud publica de Mexico, v. 50, no. 2, Mar./Apr. 2008, p. 147-154

Posted on RAND.org on January 01, 2008

by Pilar Lavielle, Patricia Clark, Homero Martinez, Francisco Mercado, Gery W. Ryan

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OBJECTIVE: To describe the illness behaviour in patients with chronic pain. MATERIAL AND METHODS: The authors conducted semi-structured interviews to 53 patients during 2000, in a tertiary care center. They explored their initial interpretations, responses and subsequent practices to chronic pain, until they received a diagnosis that satisfied them. RESULTS: Illness behaviour was determined by pain intensity and disability; beliefs regarding pain causes, trust in social networks, and quality and satisfaction with the health care systems. In terms of the decision to seek care, the first option was to go to the popular sector, followed by consulting a general physician, and as last resort, to go to a tertiary care center (with a specialist). CONCLUSIONS: Illness behaviour should be conceptualized as a process, which combines the use of different health care sectors by the same subjects, as a result of care provided sequentially by each previous sector.

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