The influence of women’s attachment style on the chronobiology of labour pain, analgesic consumption and pharmacological effect
Autor(a) principal: | |
---|---|
Data de Publicação: | 2014 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | http://hdl.handle.net/10316/47392 https://doi.org/10.3109/07420528.2014.901973 |
Resumo: | Circadian variation in biological rhythms has been identified as affecting both labour pain and the pharmacological properties of analgesics. In the context of pain, there is also a growing body of evidence suggesting the importance of adult attachment. The purpose of this study was to examine whether labour pain, analgesic consumption and pharmacological effect are significantly affected by the time of day and to analyse whether this circadian variation is influenced by women's attachment style. This prospective observational study included a sample of 81 pregnant women receiving patient-controlled epidural analgesia (PCEA). Attachment was assessed with the Adult Attachment Scale - Revised. The perceived intensity of labour pain in the early stage of labour (3 cm of cervical dilatation and before the administration of PCEA) was measured using a visual analogue scale (VAS). Pain was also indirectly assessed by measuring the consumption of anaesthetics. The latency period and the duration of effect were recorded for a chronopharmacology characterisation. Pain, as assessed with the VAS, was significantly higher in the night-time group than in the daytime group. An insecure attachment style was significantly associated with greater labour pain at 3 cm of cervical dilatation (p < 0.001) and before the beginning of analgesia (p < 0.001) as well as with higher analgesic consumption and lower pharmacological efficacy (p < 0.05). The time of day was significantly associated with the pharmacological effect: the latency period was longer at night, and the duration of the pharmacological effect was longer during the daytime. The interaction between time of day and attachment style was not significant for any of the study variables. Our results provide evidence of the importance of circadian variation in studying labour pain and the pharmacological effect of labour analgesia involving epidural blockage with a PCEA regimen. Moreover, although there was no evidence that attachment style influenced the circadian variation, these data emphasise that insecure attachment patterns are a risk factor for greater labour pain and analgesic consumption, which should be considered in pain management approaches. |
id |
RCAP_97252834c77835f7c9b359344a723b4c |
---|---|
oai_identifier_str |
oai:estudogeral.uc.pt:10316/47392 |
network_acronym_str |
RCAP |
network_name_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
repository_id_str |
7160 |
spelling |
The influence of women’s attachment style on the chronobiology of labour pain, analgesic consumption and pharmacological effectAdultAnalgesia, Patient-ControlledAnalgesicsFearFemaleHumansLabor PainMiddle AgedPain MeasurementPain PerceptionPain ThresholdPregnancyProspective StudiesReaction TimeTime FactorsYoung AdultAnalgesia, EpiduralCircadian RhythmEmotionsCircadian variation in biological rhythms has been identified as affecting both labour pain and the pharmacological properties of analgesics. In the context of pain, there is also a growing body of evidence suggesting the importance of adult attachment. The purpose of this study was to examine whether labour pain, analgesic consumption and pharmacological effect are significantly affected by the time of day and to analyse whether this circadian variation is influenced by women's attachment style. This prospective observational study included a sample of 81 pregnant women receiving patient-controlled epidural analgesia (PCEA). Attachment was assessed with the Adult Attachment Scale - Revised. The perceived intensity of labour pain in the early stage of labour (3 cm of cervical dilatation and before the administration of PCEA) was measured using a visual analogue scale (VAS). Pain was also indirectly assessed by measuring the consumption of anaesthetics. The latency period and the duration of effect were recorded for a chronopharmacology characterisation. Pain, as assessed with the VAS, was significantly higher in the night-time group than in the daytime group. An insecure attachment style was significantly associated with greater labour pain at 3 cm of cervical dilatation (p < 0.001) and before the beginning of analgesia (p < 0.001) as well as with higher analgesic consumption and lower pharmacological efficacy (p < 0.05). The time of day was significantly associated with the pharmacological effect: the latency period was longer at night, and the duration of the pharmacological effect was longer during the daytime. The interaction between time of day and attachment style was not significant for any of the study variables. Our results provide evidence of the importance of circadian variation in studying labour pain and the pharmacological effect of labour analgesia involving epidural blockage with a PCEA regimen. Moreover, although there was no evidence that attachment style influenced the circadian variation, these data emphasise that insecure attachment patterns are a risk factor for greater labour pain and analgesic consumption, which should be considered in pain management approaches.2014info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articlehttp://hdl.handle.net/10316/47392http://hdl.handle.net/10316/47392https://doi.org/10.3109/07420528.2014.901973engCosta-Martins, J. M., Pereira, M., Martins, H., Moura-Ramos, M., Coelho, R., & Tavares, J. (2014). The influence of women’s attachment style on the chronobiology of labour pain, analgesic consumption and pharmacological effect. Chronobiology International, 31(6), 787-796. doi:10.3109/07420528.2014.901973http://www.tandfonline.com/doi/full/10.3109/07420528.2014.901973Costa-Martins, José ManuelPereira, MarcoMartins, HenriquetaMoura-Ramos, MarianaCoelho, RuiTavares, Jorgeinfo:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2020-05-25T02:23:50Zoai:estudogeral.uc.pt:10316/47392Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T20:48:33.188001Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
The influence of women’s attachment style on the chronobiology of labour pain, analgesic consumption and pharmacological effect |
title |
The influence of women’s attachment style on the chronobiology of labour pain, analgesic consumption and pharmacological effect |
spellingShingle |
The influence of women’s attachment style on the chronobiology of labour pain, analgesic consumption and pharmacological effect Costa-Martins, José Manuel Adult Analgesia, Patient-Controlled Analgesics Fear Female Humans Labor Pain Middle Aged Pain Measurement Pain Perception Pain Threshold Pregnancy Prospective Studies Reaction Time Time Factors Young Adult Analgesia, Epidural Circadian Rhythm Emotions |
title_short |
The influence of women’s attachment style on the chronobiology of labour pain, analgesic consumption and pharmacological effect |
title_full |
The influence of women’s attachment style on the chronobiology of labour pain, analgesic consumption and pharmacological effect |
title_fullStr |
The influence of women’s attachment style on the chronobiology of labour pain, analgesic consumption and pharmacological effect |
title_full_unstemmed |
The influence of women’s attachment style on the chronobiology of labour pain, analgesic consumption and pharmacological effect |
title_sort |
The influence of women’s attachment style on the chronobiology of labour pain, analgesic consumption and pharmacological effect |
author |
Costa-Martins, José Manuel |
author_facet |
Costa-Martins, José Manuel Pereira, Marco Martins, Henriqueta Moura-Ramos, Mariana Coelho, Rui Tavares, Jorge |
author_role |
author |
author2 |
Pereira, Marco Martins, Henriqueta Moura-Ramos, Mariana Coelho, Rui Tavares, Jorge |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Costa-Martins, José Manuel Pereira, Marco Martins, Henriqueta Moura-Ramos, Mariana Coelho, Rui Tavares, Jorge |
dc.subject.por.fl_str_mv |
Adult Analgesia, Patient-Controlled Analgesics Fear Female Humans Labor Pain Middle Aged Pain Measurement Pain Perception Pain Threshold Pregnancy Prospective Studies Reaction Time Time Factors Young Adult Analgesia, Epidural Circadian Rhythm Emotions |
topic |
Adult Analgesia, Patient-Controlled Analgesics Fear Female Humans Labor Pain Middle Aged Pain Measurement Pain Perception Pain Threshold Pregnancy Prospective Studies Reaction Time Time Factors Young Adult Analgesia, Epidural Circadian Rhythm Emotions |
description |
Circadian variation in biological rhythms has been identified as affecting both labour pain and the pharmacological properties of analgesics. In the context of pain, there is also a growing body of evidence suggesting the importance of adult attachment. The purpose of this study was to examine whether labour pain, analgesic consumption and pharmacological effect are significantly affected by the time of day and to analyse whether this circadian variation is influenced by women's attachment style. This prospective observational study included a sample of 81 pregnant women receiving patient-controlled epidural analgesia (PCEA). Attachment was assessed with the Adult Attachment Scale - Revised. The perceived intensity of labour pain in the early stage of labour (3 cm of cervical dilatation and before the administration of PCEA) was measured using a visual analogue scale (VAS). Pain was also indirectly assessed by measuring the consumption of anaesthetics. The latency period and the duration of effect were recorded for a chronopharmacology characterisation. Pain, as assessed with the VAS, was significantly higher in the night-time group than in the daytime group. An insecure attachment style was significantly associated with greater labour pain at 3 cm of cervical dilatation (p < 0.001) and before the beginning of analgesia (p < 0.001) as well as with higher analgesic consumption and lower pharmacological efficacy (p < 0.05). The time of day was significantly associated with the pharmacological effect: the latency period was longer at night, and the duration of the pharmacological effect was longer during the daytime. The interaction between time of day and attachment style was not significant for any of the study variables. Our results provide evidence of the importance of circadian variation in studying labour pain and the pharmacological effect of labour analgesia involving epidural blockage with a PCEA regimen. Moreover, although there was no evidence that attachment style influenced the circadian variation, these data emphasise that insecure attachment patterns are a risk factor for greater labour pain and analgesic consumption, which should be considered in pain management approaches. |
publishDate |
2014 |
dc.date.none.fl_str_mv |
2014 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://hdl.handle.net/10316/47392 http://hdl.handle.net/10316/47392 https://doi.org/10.3109/07420528.2014.901973 |
url |
http://hdl.handle.net/10316/47392 https://doi.org/10.3109/07420528.2014.901973 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
Costa-Martins, J. M., Pereira, M., Martins, H., Moura-Ramos, M., Coelho, R., & Tavares, J. (2014). The influence of women’s attachment style on the chronobiology of labour pain, analgesic consumption and pharmacological effect. Chronobiology International, 31(6), 787-796. doi:10.3109/07420528.2014.901973 http://www.tandfonline.com/doi/full/10.3109/07420528.2014.901973 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.source.none.fl_str_mv |
reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
instname_str |
Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
instacron_str |
RCAAP |
institution |
RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
collection |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
repository.name.fl_str_mv |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
repository.mail.fl_str_mv |
|
_version_ |
1799133763849945088 |