Pain in childbirth and postpartum recovery: the role of catastrophizing.

Autor: Flink IK; Center for Health and Medical Psychology, Department of Behavioural, Social and Legal Sciences - Psychology, Orebro University, Sweden. ida.flink@bsr.oru.se, Mroczek MZ, Sullivan MJ, Linton SJ
Jazyk: angličtina
Zdroj: European journal of pain (London, England) [Eur J Pain] 2009 Mar; Vol. 13 (3), pp. 312-6. Date of Electronic Publication: 2008 Jun 02.
DOI: 10.1016/j.ejpain.2008.04.010
Abstrakt: This 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.
Databáze: MEDLINE