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

Holm, K. (author)

(creator_code:org_t)

Taylor & Francis, 2009
2009
English.
In: Acta Obstetricia et Gynecologica Scandinavica. - : Taylor & Francis. - 0001-6349 .- 1600-0412. ; 88:4, s. 378-385

Related links:: https://urn.kb.se/re...; show more...; https://doi.org/10.1...; http://kipublication...; show less...

Abstract Subject headings

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 (p0.05) 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.

About the subject

MEDICAL AND HEALTH SCIENCES: MEDICAL AND HEAL ...; and Health Sciences; and Nursing

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