Faria Bárbara Brenda de Araújo, Macêdo Sabrina Gabrielle Gomes Fernandes, Pirkle Catherine M, Câmara Saionara M A
Faculty of Health Sciences of Trairi, Federal University of Rio Grande do Norte (FACISA/UFRN), Santa Cruz, Rio Grande do Norte, Brazil.
Graduate Program in Physical Therapy, Federal University of Rio Grande do Norte (UFRN), Natal, Rio Grande do Norte, Brazil.
Pain Manag Nurs. 2024 Dec;25(6):e420-e427. doi: 10.1016/j.pmn.2024.06.014. Epub 2024 Aug 13.
Postpartum depressive symptoms may be more prevalent and/or severe in vulnerable populations.
Postpartum depression represents a serious mental health problem associated with maternal suffering. Despite the relevance and clinical implications of investigating pain during pregnancy and the association with postpartum depression, there is limited research on this topic.
We evaluated the association between pain during pregnancy and postpartum depression symptoms in adolescent and adult women.
This study included 86 pregnant women (42 adolescents aged 13 to 18 years and 44 adults aged 23 to 28 years) from Trairi region, Northeastern Brazil. The evaluation of pain intensity and postpartum depression symptoms was conducted using the validated instruments of the Pelvic Pain Assessment Form and Edinburgh Postnatal Depression Scale (EPDS), respectively. Mann-Whitney and Kruskal-Wallis tests compared depressive symptoms in relation to pain status.
Overall, pregnant women reporting moderate to intense pain presented more depressive symptoms, with emphasis to "deep pain with intercourse" (p = .09), "burning vaginal pain after sex" (p = .01), "pelvic pain lasting hours or days after intercourse" (p = .06), and "pain with urination" (p = .09). When stratified by age group, significant associations were found only for the adolescents.
Our results suggest that women reporting pain in different daily situations have higher EPDS scores.
Pain during pregnancy is associated with postpartum depression symptoms, mainly among adolescents. Adequate screening and pain management during pregnancy may improve women's quality of life.
产后抑郁症状在弱势群体中可能更为普遍和/或严重。
产后抑郁症是一个与产妇痛苦相关的严重心理健康问题。尽管研究孕期疼痛及其与产后抑郁症的关联具有相关性和临床意义，但关于这一主题的研究有限。
我们评估了青少年和成年女性孕期疼痛与产后抑郁症状之间的关联。
本研究纳入了来自巴西东北部特拉伊里地区的86名孕妇（42名年龄在13至18岁的青少年和44名年龄在23至28岁的成年人）。分别使用经过验证的骨盆疼痛评估表和爱丁堡产后抑郁量表（EPDS）对疼痛强度和产后抑郁症状进行评估。曼-惠特尼检验和克鲁斯卡尔-沃利斯检验比较了与疼痛状况相关的抑郁症状。
总体而言，报告有中度至重度疼痛的孕妇表现出更多的抑郁症状，尤其是“性交时深部疼痛”（p = 0.09）、“性交后阴道灼痛”（p = 0.01）、“性交后骨盆疼痛持续数小时或数天”（p = 0.06）以及“排尿疼痛”（p = 0.09）。按年龄组分层时，仅在青少年中发现了显著关联。
我们的结果表明，在不同日常情况下报告有疼痛的女性EPDS得分更高。
孕期疼痛与产后抑郁症状相关，主要发生在青少年中。孕期进行充分的筛查和疼痛管理可能会改善女性的生活质量。
