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Faria BBDA, Macêdo SGGF, Pirkle CM, Câmara SMA. Association Between Pain During Pregnancy and Postpartum Depressive Symptoms in Adolescent and Adult Women. Pain Manag Nurs 2024:S1524-9042(24)00200-5. [PMID: 39142914 DOI: 10.1016/j.pmn.2024.06.014] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/07/2023] [Revised: 05/16/2024] [Accepted: 06/29/2024] [Indexed: 08/16/2024]
Abstract
ISSUE Postpartum depressive symptoms may be more prevalent and/or severe in vulnerable populations. BACKGROUND Postpartum depression represents a serious mental health problem associated with maternal suffering. Despite the relevance and clinical implications of investigating pain during pregnancy and the association with postpartum depression, there is limited research on this topic. AIM We evaluated the association between pain during pregnancy and postpartum depression symptoms in adolescent and adult women. METHODS This study included 86 pregnant women (42 adolescents aged 13 to 18 years and 44 adults aged 23 to 28 years) from Trairi region, Northeastern Brazil. The evaluation of pain intensity and postpartum depression symptoms was conducted using the validated instruments of the Pelvic Pain Assessment Form and Edinburgh Postnatal Depression Scale (EPDS), respectively. Mann-Whitney and Kruskal-Wallis tests compared depressive symptoms in relation to pain status. FINDINGS Overall, pregnant women reporting moderate to intense pain presented more depressive symptoms, with emphasis to "deep pain with intercourse" (p = .09), "burning vaginal pain after sex" (p = .01), "pelvic pain lasting hours or days after intercourse" (p = .06), and "pain with urination" (p = .09). When stratified by age group, significant associations were found only for the adolescents. DISCUSSION Our results suggest that women reporting pain in different daily situations have higher EPDS scores. CONCLUSION Pain during pregnancy is associated with postpartum depression symptoms, mainly among adolescents. Adequate screening and pain management during pregnancy may improve women's quality of life.
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Affiliation(s)
- Bárbara Brenda de Araújo Faria
- Faculty of Health Sciences of Trairi, Federal University of Rio Grande do Norte (FACISA/UFRN), Santa Cruz, Rio Grande do Norte, Brazil
| | | | - Catherine M Pirkle
- Office of Public Health Studies, University of Hawai'i at Mānoa, Honolulu, Hawai'i, United States of America
| | - Saionara M A Câmara
- Graduate Program in Collective Health, Federal University of Rio Grande do Norte (UFRN), Natal, Rio Grande do Norte, Brazil
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Shi Z, Yan F, Lu Y, Liu W, Wang Z, Zhang H. Pregnancy-related low back/pelvic girdle pain: Prevalence, severity, and risk factors in Zhengzhou, China. J Back Musculoskelet Rehabil 2023:BMR220147. [PMID: 37248876 DOI: 10.3233/bmr-220147] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 05/31/2023]
Abstract
BACKGROUND Pregnancy-related low back pain (LBP) and pelvic girdle pain (PGP) significantly affect the quality of life of pregnant women. Understanding their severity and risk factors may help prevent and alleviate such pain and their resulting dysfunction. OBJECTIVE This study investigated the prevalence, severity, and biopsychosocial risk factors of pregnancy-related LBP and PGP in Zhengzhou, China. METHODS The Numeric Pain Rating Scale (NPRS), Chinese version of the Roland-Morris Disability Questionnaire (RMDQ), and other questionnaires were self-administered by 1020 pregnant women undergoing treatment at a tertiary hospital between July and December 2019. Binary logistic regression was used to identify factors associated with pregnancy-related LBP and/or PGP. RESULTS The prevalence of LBP and/or PGP during pregnancy was 63.0%, and most participants (80.4%) had both. The mean NPRS and RMDQ disability scores were 2.44 ± 2.10 and 6.66 ± 4.65, respectively. A higher gestational body mass index, LBP and/or PGP during menstruation, history of pregnancy-related LBP and/or PGP, and constant pressure were significantly associated with pregnancy-related LBP and/or PGP. Subjective support was a protective factor against LBP and/or PGP. CONCLUSION The prevalence of LBP and/or PGP was high. The risk factors should be included in routine prenatal care to identify patients at risk of LBP and/or PGP.
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Affiliation(s)
- Zhiyi Shi
- Department of Nursing, Henan Provincial People's Hospital, Zhengzhou, Henan, China
- Henan Provincial Key Medicine Laboratory of Nursing, Zhengzhou, Henan, China
- Zhengzhou University People's Hospital, Zhengzhou, Henan, China
| | - Fan Yan
- Department of Nursing, Henan Provincial People's Hospital, Zhengzhou, Henan, China
- Henan Provincial Key Medicine Laboratory of Nursing, Zhengzhou, Henan, China
- Zhengzhou University People's Hospital, Zhengzhou, Henan, China
| | - Ying Lu
- Department of Nursing, Henan Provincial People's Hospital, Zhengzhou, Henan, China
- Henan Provincial Key Medicine Laboratory of Nursing, Zhengzhou, Henan, China
- Zhengzhou University People's Hospital, Zhengzhou, Henan, China
| | - Weihua Liu
- Department of Nursing, Henan Provincial People's Hospital, Zhengzhou, Henan, China
- Henan Provincial Key Medicine Laboratory of Nursing, Zhengzhou, Henan, China
- Zhengzhou University People's Hospital, Zhengzhou, Henan, China
| | - Zhenzhen Wang
- Department of Nursing, Henan Provincial People's Hospital, Zhengzhou, Henan, China
- Henan Provincial Key Medicine Laboratory of Nursing, Zhengzhou, Henan, China
- Zhengzhou University People's Hospital, Zhengzhou, Henan, China
| | - Hongmei Zhang
- Department of Nursing, Henan Provincial People's Hospital, Zhengzhou, Henan, China
- Henan Provincial Key Medicine Laboratory of Nursing, Zhengzhou, Henan, China
- Zhengzhou University People's Hospital, Zhengzhou, Henan, China
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Beales D, Slater H, Palsson T, O'Sullivan P. Understanding and managing pelvic girdle pain from a person-centred biopsychosocial perspective. Musculoskelet Sci Pract 2020; 48:102152. [PMID: 32560860 DOI: 10.1016/j.msksp.2020.102152] [Citation(s) in RCA: 14] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/21/2019] [Revised: 11/08/2019] [Accepted: 03/10/2020] [Indexed: 12/16/2022]
Abstract
INTRODUCTION Clinicians need support to effectively implement a biopsychosocial approach to people with pelvic girdle pain disorders. PURPOSE A practical clinical framework aligned with a contemporary biopsychosocial approach is provided to help guide clinician's management of pelvic girdle pain. This approach is consistent with current pain science which helps to explain potential mechanistic links with co/multi-morbid conditions related to pelvic girdle pain. Further, this approach also aligns with the Common-Sense Model of Illness and provides insight into how an individual's illness perceptions can influence their emotional and behavioural response to their pain disorder. Communication is critical to supporting recovery and facilitating behaviour change within the biopsychosocial context and in this context, the patient interview is central to exploring the multidimensional nature of a persons' presentation. Focusing the biopsychosocial framework on targeted cognitive-functional therapy as a key component of care can help an individual with pelvic girdle pain make sense of their pain, build confidence and self-efficacy and facilitate positive behaviour and lifestyle change. There is growing evidence of the efficacy for this broader integrative approach, although large scale effectiveness trials are still needed. An in-depth case study provides guidance for clinicians, showing 'how to' implement these concepts into their own practice within a coherent practical framework. IMPLICATIONS This framework can give clinicians more confidence in understanding and managing pelvic girdle pain. The framework provides practical strategies to assist clinicians with implementation; assisting the transition from knowing to doing in an evidence-informed manner that resonates with real world practice.
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Affiliation(s)
- Darren Beales
- School of Physiotherapy and Exercise Science, Curtin University of Technology, GPO Box U1987, Perth, Western Australia, 6845, Australia.
| | - Helen Slater
- School of Physiotherapy and Exercise Science, Curtin University of Technology, GPO Box U1987, Perth, Western Australia, 6845, Australia
| | - Thorvaldur Palsson
- Department of Health Science and Technology, SMI®, Faculty of Medicine, Aalborg University, 9220, Aalborg, Denmark
| | - Peter O'Sullivan
- School of Physiotherapy and Exercise Science, Curtin University of Technology, GPO Box U1987, Perth, Western Australia, 6845, Australia
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