{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,19]],"date-time":"2026-05-19T17:22:47Z","timestamp":1779211367779,"version":"3.51.4"},"reference-count":44,"publisher":"Oxford University Press (OUP)","issue":"10","license":[{"start":{"date-parts":[[2023,6,21]],"date-time":"2023-06-21T00:00:00Z","timestamp":1687305600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"funder":[{"name":"Spanish Ministry of Economy, Industry and Competitiveness","award":["RTI2018-09870-B-I00"],"award-info":[{"award-number":["RTI2018-09870-B-I00"]}]},{"name":"Spanish Ministry of Economy, Industry and Competitiveness","award":["RED2022-134869-T"],"award-info":[{"award-number":["RED2022-134869-T"]}]},{"DOI":"10.13039\/501100008530","name":"European Regional Development Fund","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100008530","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100002809","name":"Government of Catalonia","doi-asserted-by":"publisher","award":["2021SGR-730"],"award-info":[{"award-number":["2021SGR-730"]}],"id":[{"id":"10.13039\/501100002809","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100004837","name":"Spanish Ministry of Science and Innovation","doi-asserted-by":"publisher","award":["PID2020-113869RA-I00"],"award-info":[{"award-number":["PID2020-113869RA-I00"]}],"id":[{"id":"10.13039\/501100004837","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100004837","name":"Spanish Ministry of Science and Innovation","doi-asserted-by":"publisher","award":["MCIN\/AEI\/10.13039\/501100011033"],"award-info":[{"award-number":["MCIN\/AEI\/10.13039\/501100011033"]}],"id":[{"id":"10.13039\/501100004837","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100003329","name":"MINECO","doi-asserted-by":"publisher","award":["PRE2019-089283"],"award-info":[{"award-number":["PRE2019-089283"]}],"id":[{"id":"10.13039\/501100003329","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100010290","name":"Fundaci\u00f3n Gr\u00fcnenthal","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100010290","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,10,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Objective<\/jats:title>\n                  <jats:p>The purpose of this study was to examine (1) the associations of anxiety, depressive symptoms, and pain catastrophizing with pain medication use in adolescents with chronic pain and (2) the extent to which these associations differed as a function of adolescents\u2019 sex.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>Cross-sectional data from 320 adolescents 12\u201318\u2009years of age with chronic pain were drawn from an epidemiological study on pediatric chronic pain conducted in Reus (Catalonia, Spain). Participants were asked to provide sociodemographic information and respond to measures assessing pain (location, frequency, intensity, and interference), pain medication use, anxiety, depressive symptoms, and pain catastrophizing. Point biserial correlations were conducted to examine univariate associations between the psychological variables and pain medication use. Hierarchical logistic regression analysis was used to examine these associations while controlling for demographic characteristics, pain intensity, and pain interference.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Anxiety, depressive symptoms, and pain catastrophizing were significantly associated with pain medication use in univariate analyses. Regression analysis identified pain catastrophizing as a unique independent predictor of pain medication use after controlling for the effect of demographic variables (sex and age), pain intensity, and pain interference (odds ratio\u2009=\u20091.1, P\u2009&amp;lt;\u2009.05). No moderating effect of adolescents\u2019 sex on the associations between psychological factors and pain medication use was found.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>Adolescents with chronic pain with higher levels of pain catastrophizing use pain medications more often. Research to examine the impact of interventions targeting pain catastrophizing on pain medication use among adolescents with chronic pain would be an important next step.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/pm\/pnad075","type":"journal-article","created":{"date-parts":[[2023,7,4]],"date-time":"2023-07-04T04:46:28Z","timestamp":1688445988000},"page":"1183-1188","source":"Crossref","is-referenced-by-count":4,"title":["Psychological factors and pain medication use in adolescents with chronic pain"],"prefix":"10.1093","volume":"24","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3383-5226","authenticated-orcid":false,"given":"Josep","family":"Roman-Juan","sequence":"first","affiliation":[{"name":"Universitat Rovira i Virgili, Unit for the Study and Treatment of Pain\u2014ALGOS, Research Center for Behavior Assessment (CRAMC), Department of Psychology , Tarragona, 43007 Catalonia, Spain"},{"name":"Institut d\u2019Investigaci\u00f3 Sanit\u00e0ria Pere Virgili, Universitat Rovira i Virgili , 43204 Catalonia, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8377-1799","authenticated-orcid":false,"given":"Elisabet","family":"S\u00e1nchez-Rodr\u00edguez","sequence":"additional","affiliation":[{"name":"Universitat Rovira i Virgili, Unit for the Study and Treatment of Pain\u2014ALGOS, Research Center for Behavior Assessment (CRAMC), Department of Psychology , Tarragona, 43007 Catalonia, Spain"},{"name":"Institut d\u2019Investigaci\u00f3 Sanit\u00e0ria Pere Virgili, Universitat Rovira i Virgili , 43204 Catalonia, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ester","family":"Sol\u00e9","sequence":"additional","affiliation":[{"name":"Universitat Rovira i Virgili, Unit for the Study and Treatment of Pain\u2014ALGOS, Research Center for Behavior Assessment (CRAMC), Department of Psychology , Tarragona, 43007 Catalonia, Spain"},{"name":"Institut d\u2019Investigaci\u00f3 Sanit\u00e0ria Pere Virgili, Universitat Rovira i Virgili , 43204 Catalonia, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elena","family":"Castarlenas","sequence":"additional","affiliation":[{"name":"Universitat Rovira i Virgili, Unit for the Study and Treatment of Pain\u2014ALGOS, Research Center for Behavior Assessment (CRAMC), Department of Psychology , Tarragona, 43007 Catalonia, Spain"},{"name":"Institut d\u2019Investigaci\u00f3 Sanit\u00e0ria Pere Virgili, Universitat Rovira i Virgili , 43204 Catalonia, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mark P","family":"Jensen","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation Medicine, University of Washington , Seattle, WA 98104, United 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