Perceived stress during labor and its association with depressive symptomatology, anxiety, and pain catastrophizing

Abstract Perceived stress is a dimension of the maternal stress response, however little data is available on perceived stress levels and its associated psychological risk factors during labor. In this secondary data analysis from a prospective study evaluating epidural regimens, we investigated the...

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Autores principales:	Hon Sen Tan, T. Agarthesh, Chin Wen Tan, Rehena Sultana, Helen Yu Chen, Tze-Ern Chua, Ban Leong Sng
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/ce8b01f7a89b443cbee5035defefff9a
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spelling	oai:doaj.org-article:ce8b01f7a89b443cbee5035defefff9a2021-12-02T16:45:53ZPerceived stress during labor and its association with depressive symptomatology, anxiety, and pain catastrophizing10.1038/s41598-021-96620-02045-2322https://doaj.org/article/ce8b01f7a89b443cbee5035defefff9a2021-08-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-96620-0https://doaj.org/toc/2045-2322Abstract Perceived stress is a dimension of the maternal stress response, however little data is available on perceived stress levels and its associated psychological risk factors during labor. In this secondary data analysis from a prospective study evaluating epidural regimens, we investigated the potential associations between depressive symptomatology, anxiety, and pain catastrophizing with perceived stress during labor. Healthy nulliparous adult women with term singleton pregnancies requesting for epidural analgesia in early labor were included. Assessments were administered after epidural analgesia and adequate pain relief were achieved. Perceived stress (Perceived Stress Scale, PSS, high PSS ≥ 16), depressive symptomatology (Edinburgh Postnatal Depression Scale, EPDS, high EPDS ≥ 10), and pain catastrophizing (Pain Catastrophizing Scale, PCS, high total PCS ≥ 25) were assessed as categorical variables. Additionally, anxiety (State-trait Anxiety Inventory, STAI), PCS total and its subscales (rumination, magnification and helplessness) were analyzed as continuous variables. Univariate and multivariable logistic regression models were used to identify factors associated with high PSS. Of 801 women included, 411 (51.9%) had high PSS. High EPDS (OR 2.16, 95%CI 1.36–3.44), increasing trait anxiety (OR 1.17, 95%CI 1.14–1.20), and increasing pain magnification (OR 1.12, 95%CI 1.05–1.19) were independently associated with high PSS. Depressive symptomatology, trait anxiety, and pain magnification were associated with perceived stress during labor, providing impetus for future research aimed at detecting and alleviating stress and its psychological or pain association factors.Hon Sen TanT. AgartheshChin Wen TanRehena SultanaHelen Yu ChenTze-Ern ChuaBan Leong SngNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-7 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Hon Sen Tan T. Agarthesh Chin Wen Tan Rehena Sultana Helen Yu Chen Tze-Ern Chua Ban Leong Sng Perceived stress during labor and its association with depressive symptomatology, anxiety, and pain catastrophizing
description	Abstract Perceived stress is a dimension of the maternal stress response, however little data is available on perceived stress levels and its associated psychological risk factors during labor. In this secondary data analysis from a prospective study evaluating epidural regimens, we investigated the potential associations between depressive symptomatology, anxiety, and pain catastrophizing with perceived stress during labor. Healthy nulliparous adult women with term singleton pregnancies requesting for epidural analgesia in early labor were included. Assessments were administered after epidural analgesia and adequate pain relief were achieved. Perceived stress (Perceived Stress Scale, PSS, high PSS ≥ 16), depressive symptomatology (Edinburgh Postnatal Depression Scale, EPDS, high EPDS ≥ 10), and pain catastrophizing (Pain Catastrophizing Scale, PCS, high total PCS ≥ 25) were assessed as categorical variables. Additionally, anxiety (State-trait Anxiety Inventory, STAI), PCS total and its subscales (rumination, magnification and helplessness) were analyzed as continuous variables. Univariate and multivariable logistic regression models were used to identify factors associated with high PSS. Of 801 women included, 411 (51.9%) had high PSS. High EPDS (OR 2.16, 95%CI 1.36–3.44), increasing trait anxiety (OR 1.17, 95%CI 1.14–1.20), and increasing pain magnification (OR 1.12, 95%CI 1.05–1.19) were independently associated with high PSS. Depressive symptomatology, trait anxiety, and pain magnification were associated with perceived stress during labor, providing impetus for future research aimed at detecting and alleviating stress and its psychological or pain association factors.
format	article
author	Hon Sen Tan T. Agarthesh Chin Wen Tan Rehena Sultana Helen Yu Chen Tze-Ern Chua Ban Leong Sng
author_facet	Hon Sen Tan T. Agarthesh Chin Wen Tan Rehena Sultana Helen Yu Chen Tze-Ern Chua Ban Leong Sng
author_sort	Hon Sen Tan
title	Perceived stress during labor and its association with depressive symptomatology, anxiety, and pain catastrophizing
title_short	Perceived stress during labor and its association with depressive symptomatology, anxiety, and pain catastrophizing
title_full	Perceived stress during labor and its association with depressive symptomatology, anxiety, and pain catastrophizing
title_fullStr	Perceived stress during labor and its association with depressive symptomatology, anxiety, and pain catastrophizing
title_full_unstemmed	Perceived stress during labor and its association with depressive symptomatology, anxiety, and pain catastrophizing
title_sort	perceived stress during labor and its association with depressive symptomatology, anxiety, and pain catastrophizing
publisher	Nature Portfolio
publishDate	2021
url	https://doaj.org/article/ce8b01f7a89b443cbee5035defefff9a
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Perceived stress during labor and its association with depressive symptomatology, anxiety, and pain catastrophizing

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