Lumbopelvic pain associated with catastrophizing and fear-avoidance beliefs in early pregnancy.

Acta Obstet Gynecol Scand

CeFAM, Stockholm County Council, Huddinge, Sweden.

Published: April 2009

AI Article Synopsis

  • The study investigates how lumbopelvic pain (LP) affects levels of catastrophizing, fear-avoidance beliefs, physical ability, and health-related quality of life in early pregnancy.
  • Women with LP exhibited significantly higher negative thoughts about pain and fear-avoidance beliefs, as well as lower physical ability and health-related quality of life compared to those without this pain (NLP).
  • These findings highlight the need for healthcare providers to consider psychological factors when treating pregnant women experiencing LP, as it greatly impacts their overall well-being.

Article Abstract

Objective: To examine and compare levels of catastrophizing, fear-avoidance beliefs, physical ability, and health-related quality of life in women with and without lumbopelvic pain (LP and NLP) in early pregnancy.

Design: A cross-sectional study of early pregnancy.

Setting: Five midwife clinics, one in the center, two in the outskirts of Stockholm, and two in a medium-sized town.

Population: Three hundred and twenty-four women in the 19th-21st week of pregnancy.

Methods: Questionnaires.

Main Outcome Measures: The Pain Catastrophizing Scale of exaggerated negative thoughts about pain experiences, the Fear-Avoidance Beliefs Questionnaire of beliefs about how physical activity and work affect back pain, the Disability Rating Index of physical ability, and the Nottingham Health Profile to assess health-related quality of life.

Results: Two groups were defined: LP (n=141) and NLP (n=183). The Mann-Whitney U-test was used for comparisons. Pregnant women with LP had significantly (p<0.05) higher levels of exaggerated negative thoughts and fear-avoidance beliefs. They also had lower physical ability and health-related quality of life compared to women in the NLP group.

Conclusions: It is important to consider exaggerated negative thoughts about pain experiences and fear-avoidance beliefs when treating women with LP during pregnancy and to be aware of the great impact lumbopelvic pain has on women's lives during early pregnancy.

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http://dx.doi.org/10.1080/00016340902763210DOI Listing

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