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Aims: To determine the contribution of a wide range of factors to
care-seeking behavior in orofacial pain patients, expressed as (A)
decision to seek care and (B) number of health care practitioners
visited. Methods: Subjects with orofacial pain complaints were recruited
in seven TMD clinics and from a nonclinical population
sample. They received a questionnaire including a wide range of possible predictors. To study which predictive variables were associated
with the decision to seek care and with the number of health care
practitioners visited, multiple regression models were built. Results:
Two hundred three persons with orofacial pain participated in the
study. Of these participants, 169 (140 females) had visited at least
one health care practitioner (care seekers), while the other 34 persons
(25 females) did not (non–care seekers). The decision to seek
care was not only associated with the pain intensity (P < .05), but,
in women, also with fear of jaw movements (P < .01): Women with
more fear of jaw movements were more likely to seek care. Pain intensity and disability were not associated with the number of health
care practitioners visited. Instead, the main predictors were catastrophizing (P = .004) and the use of painkillers (P = .008). Conclusions: Pain intensity and fear of jaw movements play an important role in the decision to seek care for orofacial pain. The continuous search for help is associated with catastrophizing and the use of painkillers. J OROFAC PAIN 2012;26:206–214 Key words: care seeking, health care utilization, orofacial pain, predictors
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