دورية أكاديمية
أعرض في EDS

Role of depressive symptoms on the development of pelvic girdle pain in pregnancy: A prospective inception cohort study.

التفاصيل البيبلوغرافية
العنوان: Role of depressive symptoms on the development of pelvic girdle pain in pregnancy: A prospective inception cohort study.
المؤلفون: Algård T; Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden., Kalliokoski P; Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden., Ahlqvist K; Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden., Schlager A; Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden., Kristiansson P; Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden.
المصدر: Acta obstetricia et gynecologica Scandinavica [Acta Obstet Gynecol Scand] 2023 Oct; Vol. 102 (10), pp. 1281-1289. Date of Electronic Publication: 2023 Mar 25.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Wiley Country of Publication: United States NLM ID: 0370343 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1600-0412 (Electronic) Linking ISSN: 00016349 NLM ISO Abbreviation: Acta Obstet Gynecol Scand Subsets: MEDLINE
أسماء مطبوعة: Publication: 2011- : Malden, MA : Wiley
Original Publication: Copenhagen : Munksgaard
مواضيع طبية MeSH: Pelvic Girdle Pain*/diagnosis , Pelvic Girdle Pain*/epidemiology , Pregnancy Complications*/diagnosis , Pregnancy Complications*/epidemiology, Pregnancy ; Female ; Humans ; Cohort Studies ; Depression/diagnosis ; Depression/epidemiology ; Prospective Studies ; Pelvic Pain/diagnosis ; Pelvic Pain/epidemiology ; Pelvic Pain/etiology
مستخلص: Introduction: Pelvic girdle pain in pregnancy is a major public health concern. For too many women, the pain condition causes disability and sick leave, has a negative impact on daily life, and breeds doubt in their view as mother, partner, and worker. The pathophysiology is unknown and causal treatment is lacking. Depression in pregnancy is common, undertreated, and previously associated with pelvic girdle pain with unclear causal direction.
Material and Methods: A prospective inception cohort study of 356 Swedish women examined them in early and late pregnancy. Women with a positive Posterior Pelvic Pain Provocation test in early pregnancy were not included. The exposure, depressive symptoms in early pregnancy, was self-reported on the Hospital Anxiety and Depression Scale, depression part (0-21). Outcome measure in late pregnancy was a graded score on the Posterior Pelvic Pain Provocation test (0-8). Covariates for statistical adjustment were identified in a directed acyclic graph. Linear robust and logistic regression were used in the statistical analyses.
Results: In early pregnancy, the 248 women with negative Posterior Pelvic Pain Provocation test had a mean score of 2.35 (± 2.3 standard deviation) on the Hospital Anxiety and Depression Scale, depression part. In a fully adjusted, multiple robust regression model a positive association was shown between Hospital Anxiety and Depression Scale score, depression part, and the Posterior Pelvic Pain Provocation test score in late pregnancy with an estimated effect of β = 0.32 (95% confidence interval [CI] 0.16-0.48, p < 0.001). Dichotomization of exposure (Hospital Anxiety and Depression Scale, depression part <8/≥8) and outcome (Posterior Pelvic Pain Provocation test score 0/>0) rendered adjusted odds ratio 1.71 (95% CI 0.38-7.7) and numbers needed to treat adjusted odds ratio 5.54 (95% CI -3.4-14.5).
Conclusions: Depressive symptoms in early pregnancy were associated with the development and intensity of pelvic girdle pain in late pregnancy. Considering the small sample size, screening and treatment for depressive symptoms in early pregnancy may enable a way to reduce and prevent disabling pelvic girdle pain in late pregnancy. Trials are needed to confirm the results.
(© 2023 The Authors. Acta Obstetricia et Gynecologica Scandinavica published by John Wiley & Sons Ltd on behalf of Nordic Federation of Societies of Obstetrics and Gynecology (NFOG).)
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معلومات مُعتمدة: Landstinget i Uppsala län
فهرسة مساهمة: Keywords: depressive symptoms; pelvic girdle pain; pelvic pain; pregnancy
تواريخ الأحداث: Date Created: 20230325 Date Completed: 20231005 Latest Revision: 20231005
رمز التحديث: 20240628
مُعرف محوري في PubMed: PMC10541153
DOI: 10.1111/aogs.14562
PMID: 36965059
قاعدة البيانات: MEDLINE
الوصف
تدمد:1600-0412
DOI:10.1111/aogs.14562