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We examine whether this discontinuity induced a corresponding discontinuity in the prevalence of LBP. We additionally estimate a regression discontinuity model to determine associated changes in medical visits with LBP as the primary complaint.<\/jats:p><\/jats:sec><jats:sec><jats:title>Principal Findings<\/jats:title><jats:p>The prevalence of LBP was discontinuously reduced by one\u2010fifth due to the exogenous national discontinuous reduction in psychological distress. This discontinuity in LBP cannot be explained by discontinuities in employment, insurance, injuries\/poisoning, general health status, or other factors. We find an associated three\u2010fifth discontinuous reduction in medical visits with LBP as the primary complaint.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>On a monthly basis, 2.1 million (<jats:italic>P<\/jats:italic>\u00a0&lt;\u00a0.01) adults ceased to suffer LBP due to the national reduction in psychological distress, and associated medical visits with LBP as the primary complaint declined by 685\u00a0000 (<jats:italic>P<\/jats:italic>\u00a0&lt;\u00a0.01).<\/jats:p><\/jats:sec>","DOI":"10.1111\/1475-6773.13557","type":"journal-article","created":{"date-parts":[[2020,9,25]],"date-time":"2020-09-25T20:40:50Z","timestamp":1601066450000},"page":"631-641","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Reducing the prevalence of low\u2010back pain by reducing the prevalence of psychological distress: Evidence from a natural experiment and implications for health care providers"],"prefix":"10.1111","volume":"55","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5334-0768","authenticated-orcid":false,"given":"Timothy T.","family":"Brown","sequence":"first","affiliation":[{"name":"School of Public Health University of California, Berkeley Berkeley California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christie","family":"Ahn","sequence":"additional","affiliation":[{"name":"School of Public Health University of California, Berkeley Berkeley California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Haoyue","family":"Huang","sequence":"additional","affiliation":[{"name":"School of Public Health University of California, Berkeley Berkeley California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zaidat","family":"Ibrahim","sequence":"additional","affiliation":[{"name":"School of Public Health University of California, Berkeley Berkeley California"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,9,25]]},"reference":[{"key":"e_1_2_7_2_1","unstructured":"Worsening Trends in the Management and Treatment of Back Pain | Guidelines | JAMA Internal Medicine | JAMA Network.https:\/\/jamanetwork.com\/journals\/jamainternalmedicine\/article\u2010abstract\/1722522. 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