人格特质可预测妊娠后骨盆带疼痛的消退：一项纵向随访研究。
Personality traits predict regression of pelvic girdle pain after pregnancy: a longitudinal follow-up study.
机构信息
Department of Orthopaedic, China-Japan Friendship Hospital, Peking Union Medical College, Chinese Academy of Medical College, Beijing, 100853, China.
Department of Psychology, Hai Nan branch of Chinese PLA General Hospital, Sanya, 572000, Hainan, China.
出版信息
BMC Pregnancy Childbirth. 2021 May 4;21(1):353. doi: 10.1186/s12884-021-03759-9.
BACKGROUND
Pelvic girdle pain (PGP) is a multifactorial condition with a partly unknown etiology. This condition can be mentally and physically compromising both during and after pregnancy. To provide all-around preventive measures to improve the recovery from PGP, it is a necessity for obstetricians and orthopaedists to develop predictive studies about the worse prognosis for this condition. Therefore, this study aims to determine whether personality traits can predict the consequences of long-term pregnancy-related PGP.
METHODS
This was a prospective study conducted from January 2015 to August 2018. A total of 387 pregnant women were enrolled in this study. According to whether they had experienced PGP during the past 4 weeks, the subjects were classified into no PGP and PGP groups. Persistent PGP after the pregnancy was defined as a recurrent or continuous visual analog score (VAS) pain rating of ≥3 for more than 1 week. The Quick Big Five Personality Test (QBFPT) was used to assess personality traits. Data were obtained by mail or in the clinic. The authors collected data including age, BMI, educational level, annual household income, cesarean delivery, breastfeeding, unexpected sex of the baby, parity, sick leave, no or rare ability to take rest breaks at work, and PGP in the previous pregnancy.
RESULTS
Of 387 included women, 264 subjects experienced PGP during the pregnancy with a mean age of 26.3 ± 4.5 years. A total of 80 of 264 (30.3%) women experienced persistent PGP after the pregnancy. Persistent PGP after the pregnancy was associated with higher levels of neuroticism (OR = 2.12, P = 0.001). Comparing women with persistent PGP, those who reported higher levels of extraversion and conscientiousness were more likely to recover from this condition (OR = 0.65, P = 0.001; OR = 0.78, P = 0.010, respectively). Besides, neuroticism was positively associated with higher pain scores (r = 0.52, P = 0.005). However, extraversion and conscientiousness domains showed negative correlations with pain score (r = - 0.48, P = 0.003; r = - 0.36, P = 0.001).
CONCLUSIONS
Personality traits were significantly associated with the outcomes of PGP.
背景
骨盆带疼痛（PGP）是一种多因素疾病，其病因部分未知。这种疾病在怀孕期间和之后都会对身体和精神造成损害。为了提供全面的预防措施，以改善 PGP 的恢复，产科医生和骨科医生有必要开展预测研究，以了解这种疾病的预后更差的原因。因此，本研究旨在确定人格特质是否可以预测长期妊娠相关 PGP 的后果。
方法
这是一项前瞻性研究，于 2015 年 1 月至 2018 年 8 月进行。共纳入 387 名孕妇。根据过去 4 周内是否经历过 PGP，将受试者分为无 PGP 和 PGP 组。妊娠后持续性 PGP 定义为视觉模拟评分（VAS）疼痛评分≥3 持续超过 1 周。采用 Quick Big Five Personality Test（QBFPT）评估人格特质。通过邮件或诊所收集数据。作者收集的数据包括年龄、BMI、教育水平、家庭年收入、剖宫产、母乳喂养、婴儿性别意外、产次、病假、工作中很少或几乎无法休息、以及既往妊娠中的 PGP。
结果
在 387 名纳入的女性中，264 名在妊娠期间经历过 PGP，平均年龄为 26.3±4.5 岁。共有 264 名女性中的 80 名（30.3%）在妊娠后出现持续性 PGP。妊娠后持续性 PGP 与较高的神经质水平相关（OR=2.12，P=0.001）。与持续性 PGP 相关的女性中，报告具有较高外向性和尽责性的女性更有可能从这种疾病中恢复（OR=0.65，P=0.001；OR=0.78，P=0.010）。此外，神经质与较高的疼痛评分呈正相关（r=0.52，P=0.005）。然而，外向性和尽责性与疼痛评分呈负相关（r=-0.48，P=0.003；r=-0.36，P=0.001）。
结论
人格特质与 PGP 的结果显著相关。
Zotero 插件