Pain cognitions as predictors of the request for pain relief during the first stage of labor: a prospective study (original) (raw)
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Labor pain assessment: Validity of a behavioral index
Pain, 1985
There is a need for adequate and convenient measures for assessing obstetric pain. The present investigation was designed to develop a non-verbal objective measurement of labor pain based on the continuous observation of behavior. Validity and sensitivity of the instrument designed to assess pain throughout labor using standardized observational ratings were tested on a sample of 100 primiparae who were asked periodically to rate pain on a 5-point numerical scale. The use of a behavioral method of observation associated with a self-rating procedure comprises various advantages, especially because they may appreciate different factors of the pain experience. Behavioral and self-rating indices were satisfactorily correlated. The behavioral index correlates with the pre-partum anxiety score but the self-rating index does not. The positive results obtained in this preliminary study lead us to consider this behavioral index as a valid instrument. Correspondence and reprint requests to: A.M. Bonnel, Dkpartement de Psychologie Expkimentale, Universitt de Provence, 29, Av. R. Schuman, 13621 Aix en Provence Cedex, France. 0304-3959/85/$03.30 0 1985 Elsevier Science Publishers B.V. (Biomedical Division)
Psychosocial predictors of labor pain
Pain, 1985
The relationship between labor pain and concomitant psychological state, in terms of prenatal anxiety levels and post-partum mood, has been studied. A consecutive series of primiparae (n = 129) was assessed at intervals over the course of their pregnancy and after delivery. ...
Anesthesiology research and practice, 2016
Introduction. This study aimed to determine if preoperative psychological tests combined with simple pain prediction ratings could predict pain intensity and analgesic usage following cesarean delivery (CD). Methods. 50 healthy women undergoing scheduled CD with spinal anesthesia comprised the prospective study cohort. Preoperative predictors included 4 validated psychological questionnaires (Anxiety Sensitivity Index (ASI), Fear of Pain (FPQ), Pain Catastrophizing Scale, and Eysenck Personality Questionnaire) and 3 simple ratings: expected postoperative pain (0-10), anticipated analgesic threshold (0-10), and perceived analgesic needs (0-10). Postoperative outcome measures included post-CD pain (combined rest and movement) and opioid used for the 48-hour study period. Results. Bivariate correlations were significant with expected pain and opioid usage (r = 0.349), anticipated analgesic threshold and post-CD pain (r = -0.349), and perceived analgesic needs and post-CD pain (r = 0.31...
Psychological Factors in Experience of Pain During Childbirth
Collegium antropologicum, 2015
Pain during delivery is unique because it is accompanied by powerful emotions. Emotions that occur in women during labor and delivery are closely tied to upbringing and culture in which they were raised and consequently with the sensation of experienced pain. According to the Melzack-Wall Theory of Pain, general mood is directly related to the intensity and quality of pain and it is therefore justifiable to presuppose that certain psychosocial factors will be linked with the intensity and quality of pain experienced during childbirth. (Melzack et al., 1981). We endeavored to show the effect of psychosocial factors that influence the intensity and quality of labor pain. Data was collected in a sample of 176 parturient women who delivered without Cesarean sections or epidural anesthesia. The intensity and quality of pain were obtained through the administration of the McGill Pain Questionnaire-Short Form. Psychosocial factors included: number of births, presence of partner, self-evalu...
Psychological Correlates of Childbirth Pain
Psychosomatic Medicine, 1974
The purpose of this study was to determine why childbirth pain and the childbirth experience are reported to vary so vastly. The correlation and relative contribution of eleven psychological and background variables to six childbirth outcome measures were investigated. Predictor variables included natural childbirth training, age, gravida, education, menstrual pain, first menstrual experience, sexual desire, wanting husband to be present, medication expectation, and general overt reaction to pain. The six criteria variables are labor length, behavior, medication amount, self-report of pain, childbirth description, and testimony. Findings indicated that the most important factors contributing to childbirth outcome were: training, attitudes toward childbirth, reaction to pain in general, medication expectation, and desire for husband's presence. Childbirth training did not contribute to the variance of labor length, self-report of pain, or childbirth description. None of the predictors influenced selfreport of pain. The underlying factor involved in contributing to a positive childbirth experience appears to be the woman's desire to be an active participant in her labor and delivery.
Catastrophizing labor pain compromises later maternity adjustments
American Journal of Obstetrics and Gynecology, 2005
Objective: The purpose of this study was to evaluate the impact of labor pain intensity and labor pain catastrophizing on maternity blues and postpartum social functioning. Study design: Pain intensity and pain catastrophizing were assessed in 89 women in active labor before the administration of analgesia. Both these measures were assessed again retrospectively 2 days after delivery in 82 women who had a spontaneous vaginal delivery. Women also filled out the Edinburgh Postnatal Depression Scale. Six weeks later women completed the social functioning domain of the short form SF36 health survey. Results: Pain catastrophizing during labor significantly predicted both maternity blues (P = .001) and postpartum social functioning (P = .001) when being controlled for maternal age and education, parity, type of analgesia, and labor pain intensity. Low level of education and younger age also contributed to the prediction of maternity blues and social functioning. Conclusion: Labor pain catastrophizing rather than labor pain intensity predicts postpartum maternal adjustments.
Does Pain Catastrophizing among Pregnant Women affect their beliefs about Epidural Analgesia
2020
This study explores pregnant women’s beliefs about epidural analgesia and the influence of pain catastrophizing on epidural analgesia use among Jordanian pregnant women. A descriptive, cross-sectional design was used. A non-probability convenient sample of 191 pregnant women was recruited in the antenatal clinics of two university hospitals in Jordan to participate in the study. Both catastrophizing pain scale (PCS) and Beliefs Epidural Analgesia Questionnaire (BEAQ) were used to collect the data. Data were analyzed using the Statistical Package for Social Sciences (SPSS) software version 22. Chi-square was applied to examine the association between some variables with demographical data. Independent sample t-test and one-way AVONA test were also used to determine the differences in EA beliefs and pain catastrophizing. Pearson correlation test was used to examine the correlation between pain catastrophizing and the beliefs about EA. The study findings show that there is a statistica...
Anxiety sensitivity as a predictor of labor pain
European Journal of Pain, 2006
Psychosocial factors have been implicated in the pain experience during childbirth, which can have both short-and long-term consequences on the motherÕs health and her relationship with her infant. The present study evaluated important demographic, social, and psychological factors as predictors of multiple dimensions of labor pain among 35 mothers during childbirth. The results indicated that anxiety sensitivity (AS), as measured by the Anxiety Sensitivity Index, shared a significant relation with maximum pain during labor as well as sensory and affective components of pain as measured by the McGill Pain Questionnaire. AS predicted both maximum pain during labor and sensory aspects of pain above and beyond demographic and social factors as well as other theoretically important psychological factors (e.g., depression and state anxiety). These data replicate previous research that has demonstrated the significant impact of AS on pain responding in other areas (e.g., chronic pain) and extend knowledge in this literature to demonstrate the important role that AS serves among women and their experience of labor pain. Clinical implications are highlighted and discussed.
SpringerPlus, 2016
The present study was aimed to assess the relationship between pain expectation before labour, labour pain and pain perception after the labour. Pregnant women were asked to rate their pain level on a standard continuous visual analogue scale at various time points. Pain expectancy (PE), labour pain (LP) and postpartum pain perception (PPP) scores were calculated. The final study group was composed of 230 pregnant women after exclusions. Mean age of pregnant women was 26.2 ± 5.79. The mean PE, LP, and PPP scores were 70.11 ± 18.82, 75.72 ± 19.2 and 65.84 ± 19.56, respectively. The difference among pain scores was statistically significant (p < 0.001). There was a positive correlation between PE and LP or PE and PPP scores (p = 0.27 and p = 0.21). The correlations were statistically significant (p = 0.01 or p = 0.01). In addition, there was a positive correlation between LP and PPP scores (p = 0.87) and the correlation was statistically significant (p = 0.01). This study showed that, if pregnant women had lower expectations of pain before the labour, they indeed experienced lower amount of pain during the labour.