Journal article
PAIN AND DEPRESSION SYMPTOMS DURING THE THIRD TRIMESTER OF PREGNANCY
MCN, the American journal of maternal child nursing, Vol.45(6), pp.351-356
11/01/2020
DOI: 10.1097/NMC.0000000000000657
PMID: 32956168
Abstract
Purpose: To assess the association between depression symptoms and pain characteristics, including pain intensity, location, and effectiveness of pain management strategies, among women in their third trimester of pregnancy.
Design: Descriptive, exploratory cross-sectional study.
Setting: Mobile health pregnancy application (app).
Participants: A convenience sample of women in their third trimester of pregnancy from across the United States. Methods: Women completed demographic questionnaires, the Brief Pain Inventory, and Edinburgh Postnatal Depression Scale (EPDS) through an online Web site.
Results: N = 132 women participated. The sample was demographically diverse.. Women ranged in age from 18 to 39 years (M 28.1 +/- SD 5.2). Most women were Caucasian (68%), with smaller percentages of Hispanic (12%) and African American (11%) women. Most had commercial insurance (59%) and a partner (85%). Of the 132 women, 79.6% reported moderate-to-severe pain. Approximately 93% experienced back and pelvic pain, whereas 27% experienced moderate-to-severe depression symptoms. Bivariate and linear regression analyses revealed that higher EPDS depression scores were associated with higher levels of pain (p <.01). Other variables signifi cantly associated with higher EPDS scores were White race (p =.04), marital status (p =.05), and headache (p <.01).
Clinical Implications: In the third trimester of pregnancy, pain affects more than two-thirds of women and may occur with and without depression symptoms. A lthough the value of universal depression screening during pregnancy is widely recognized, our findings suggest clinical outcomes for pregnant women would improve with a standardized, multidimensional screen for both pain and depression symptoms. Nurses are ideally positioned to assess and advocate for the combined treatment of pain and depression.
Details
- Title: Subtitle
- PAIN AND DEPRESSION SYMPTOMS DURING THE THIRD TRIMESTER OF PREGNANCY
- Creators
- Julie Vignato - Univ Iowa, Coll Nursing, Iowa City, IA 52242 USAYelena Perkhounkova - Univ Iowa, Coll Nursing, Iowa City, IA 52242 USAAnn Marie McCarthy - University of IowaLisa S. Segre - University of Iowa
- Resource Type
- Journal article
- Publication Details
- MCN, the American journal of maternal child nursing, Vol.45(6), pp.351-356
- Publisher
- Lippincott Williams & Wilkins
- DOI
- 10.1097/NMC.0000000000000657
- PMID
- 32956168
- ISSN
- 0361-929X
- eISSN
- 1539-0683
- Number of pages
- 6
- Grant note
- U54TR001356 / National Center for Advancing Translational Sciences of the National Institutes of Health; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Center for Advancing Translational Sciences (NCATS) NR11147 / NIH; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA Sigma Theta Tau International Gamma Gamma Chapter Research Grant University of Iowa College of Nursing
- Language
- English
- Date published
- 11/01/2020
- Academic Unit
- Stead Family Department of Pediatrics; Nursing; Community and Behavioral Health
- Record Identifier
- 9984370638602771
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