Pain and associated factors in depressed and non depressed puerperal women

• Autor(a) principal: Angelo,Rita di Cássia de Oliveira
• Data de Publicação: 2014
• Outros Autores: Sabino,Lorena Ferreira, Schwingel,Paulo Adriano, Lima,Antonio Plauto Oliveira, Zambaldi,Carla Fonseca, Cantilino,Amaury, Sougey,Everton Botelho
• Tipo de documento: Artigo
• Idioma: eng
• Título da fonte: Revista Dor
• Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1806-00132014000200100
• topic: Musculoskeletal pain; Pain measurement; Postpartum depression

BACKGROUND AND OBJECTIVES:Physical pain during puerperium is in general caused by musculoskeletal changes inherent to gestation; however, its clinical progression may be changed by mood disorders. This study aimed at evaluating the association between pain and postpartum depression.METHODS:Participated in the study 80 women at 2 to 30 weeks postpartum. Depressive symptoms were screened with the Edinburgh Postnatal Depression Scale. Pain intensity was evaluated with the analog visual scale, while the Nordic Musculoskeletal Questionnaire was used for pain location.RESULTS:Univariate analysis has shown that postpartum depression was associated to more severe pain (p<0.001), to constant mood changes (p=0.001), to early sexual initiation (p<0.05) and to a larger number of people living together (p<0.05). Chest was the most common painful site referred by depressed puerperal women (p=0.01). Logistic regression analysis has shown that moderate to severe pain was a strong predictor of postpartum depression (OR=4.6; confidence interval 95%: 1.5-13.9).CONCLUSION:Moderate to severe pain increases the probability of puerperal women developing postpartum depressive symptoms.