Pain in childbirth and postpartum recovery – The role of catastrophizing

European Journal of Pain - Tập 13 - Trang 312-316 - 2009
Ida K. Flink1, Magdalena Z. Mroczek2, Michael J.L. Sullivan3, Steven J. Linton1
1Center for Health and Medical Psychology, Department of Behavioural, Social and Legal Sciences – Psychology, Örebro University, Sweden
2Occupational and Environmental Health, Stockholm Centre for Public Health, Stockholm County Council, Sweden
3Departments of Psychology, Medicine and Neuroscience, McGill University, Montreal, Canada

Tóm tắt

ABSTRACTThis prospective study investigated how pain catastrophizing was related to labor pain intensity and physical recovery after childbirth. Eighty‐eight women giving birth for the first time completed the first questionnaire before delivery. Eighty‐two of those returned the second questionnaire after delivery. Participants were classified as catastrophizers (n=38) or non‐catastrophizers (n=44) based on their scores on the Pain Catastrophizing Scale. Comparison of the groups showed that catastrophizers anticipated and experienced more intense pain (p<.0125) and had poorer physical recovery (p<.0125), measured as the level of self‐reported functioning in activities of daily living, than non‐catastrophizers. These results extend the association between catastrophizing and pain, to pain and recovery in childbirth and provide support for the fear‐avoidance model. It is concluded that pain catastrophizing plays a role in the experience of pain in childbirth and postpartum recovery. Further research is needed to identify appropriate interventions for catastrophizing women during the latter part of pregnancy.

Tài liệu tham khảo

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