Primärvårdsrehab Serafen, Stockholm, Sweden.
Phys Ther. 2012 Jan;92(1):49-57. doi: 10.2522/ptj.20100293. Epub 2011 Oct 20.
There is a lack of knowledge about the possible role of catastrophizing in lumbopelvic pain during and after pregnancy and in postpartum physical ability.
The aims of this study were to explore how catastrophizing fluctuates over time during and after pregnancy and to investigate the associations between catastrophizing and lumbopelvic pain and between catastrophizing and postpartum physical ability.
A prospective questionnaire was used.
The Pain Catastrophizing Scale was used to assess exaggerated negative thoughts about pain experiences in weeks 19 to 21 and weeks 34 to 37 of pregnancy and at 6 months postpartum. The Disability Rating Index was used to assess physical ability at 6 months postpartum. The occurrence of lumbopelvic pain was reported by participants. Parametric and nonparametric tests were used for the analyses.
A total of 242 of 324 women were categorized according to reported levels of catastrophizing. A majority of women (57.9%) reported not catastrophizing at all test occasions, whereas 10.3% reported catastrophizing at all occasions. For the remaining 31.8%, the levels of catastrophizing varied over time. Women who catastrophized at 1 or more of the occasions reported higher proportions of postpartum lumbopelvic pain and had more restricted postpartum physical ability than women who did not catastrophize.
The fact that some women did not complete the questionnaire at all test occasions might have reduced the generalizability of the results.
The common idea that levels of catastrophizing are "stable" within personality should be reconsidered, because for 1 of 3 women, the levels of catastrophizing changed over time. A majority of women reported not catastrophizing. However, catastrophizing in relation to pregnancy seems to be associated with lumbopelvic pain and postpartum physical ability. The results indicated that the role of catastrophizing in this context should be studied further.
人们对灾难性思维在妊娠期间和之后以及产后身体能力方面可能发挥的作用知之甚少。
本研究旨在探讨灾难性思维在妊娠期间和之后如何随时间波动，并调查灾难性思维与腰骨盆疼痛之间以及与产后身体能力之间的相关性。
前瞻性问卷调查。
使用疼痛灾难化量表评估妊娠 19 至 21 周和 34 至 37 周以及产后 6 个月时对疼痛体验的过度负面想法。使用残疾评定指数评估产后 6 个月时的身体能力。参与者报告腰骨盆疼痛的发生情况。采用参数和非参数检验进行分析。
共有 324 名女性中的 242 名根据报告的灾难化程度进行了分类。大多数女性（57.9%）在所有测试时都没有完全灾难化，而 10.3%的女性在所有时都报告了灾难化。对于其余 31.8%的女性，灾难化程度随时间而变化。在 1 个或多个测试时灾难化的女性报告产后腰骨盆疼痛的比例较高，并且产后身体能力受限的比例高于没有灾难化的女性。
一些女性并非在所有测试时都完成了问卷，这可能会降低研究结果的普遍性。
应该重新考虑灾难化水平在人格内“稳定”的普遍观点，因为有 1/3 的女性的灾难化水平随时间而变化。大多数女性报告没有灾难化。然而，与妊娠相关的灾难化似乎与腰骨盆疼痛和产后身体能力相关。结果表明，应进一步研究这种情况下灾难化的作用。
