疼痛是乳腺癌幸存者 (BCS) 中常见的副作用。众所周知，心理因素在疼痛机制中扮演着重要角色。疼痛和心理因素都会影响医疗保健使用 (HCU) 或与医疗保健使用 (HCU) 相互作用。然而，心理因素与 HCU 之间的关联从未在伴有疼痛的 BCS 中进行过调查，这也是本研究的目的。通过医疗消费问卷、不公正经历问卷、疼痛灾难化量表对比利时伴有疼痛的 BCS (n = 122) 进行评估。疼痛警惕和意识调查问卷、简要疾病认知调查问卷以及抑郁、焦虑和压力量表。使用逻辑回归和泊松回归分析关联性。阿片类药物的使用与更多的灾难性和更少的心理困扰有关。精神药物与更多的心理困扰有关。内分泌治疗与警惕性和意识降低有关。心理困扰与所有类型的医疗保健提供者 (HCP) 相关，其中心理困扰与物理治疗、心理治疗和其他主要 HCP 就诊呈负相关，而与就诊全科医生和二级 HCP 呈正相关。灾难化与主要 HCP 中更多的就诊行为相关，但全科医生除外。感受到的不公正与更多的全科医生和其他主要 HCP 就诊有关，但与更少的心理就诊有关。疾病认知仅与拜访其他主要 HCP 相关。警惕性和意识与更多的心理学家和二次 HCP 就诊有关。我们的研究结果强调了 HCU 与 BCS 疼痛中心理因素之间复杂的相互作用。总的来说，心理困扰是与 HCU 相关的最重要的心理因素，无论灾难化和感知不公正是否与 HCP 就诊最相关。© 作者 2024。由牛津大学出版社代表美国疼痛医学会出版。版权所有。如需权限，请发送电子邮件至：journals.permissions@oup.com。

Pain is a prevalent side-effect seen in breast cancer survivors (BCS). Psychological factors are known role-players in pain mechanisms. Both pain and psychological factors contribute to or interact with healthcare use (HCU). However, the association between psychological factors and HCU has never been investigated in BCS with pain, which is aimed in this study.Belgian BCS with pain (n = 122) were assessed by the Medical Consumption Questionnaire, Injustice Experienced Questionnaire, Pain Catastrophizing Scale, Pain Vigilance and Awareness Questionnaire, Brief Illness Perceptions Questionnaire, and the Depression, Anxiety and Stress Scale. Associations were analyzed using logistic and Poisson regressions.Opioid use was related to more catastrophizing and less psychological distress. Psychotropic drug was related to more psychological distress. Endocrine therapy related to less vigilance and awareness. Psychological distress related to all types of healthcare provider (HCP), with psychological distress negatively related to physiotherapy, psychology, and other primary HCP visits, and positively with visiting a general practitioner and secondary HCP. Catastrophizing related to more visiting behavior in primary HCP, except to a general practitioner. Perceived injustice related to more general practitioner and other primary HCP visits, but to fewer psychology visits. Illness perceptions are only related to visiting other primary HCP. Vigilance and awareness was related to more psychologist and secondary HCP visits.Our findings underscore the complex interplay between HCU and psychological factors in BCS with pain. Psychological distress was overall the most important psychological factor related to HCU, whether catastrophizing and perceived injustice were the most relevant related to HCP visits.© The Author(s) 2024. Published by Oxford University Press on behalf of the American Academy of Pain Medicine. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.