Evidence map›Paper›PMID 32982241›Full record

ArticleNeuropsychiatric disease and treatment2020

Association of Pain Catastrophizing with Postnatal Depressive States in Nulliparous Parturients: A Prospective Study.

Yanzhi Zeng, Chin Wen Tan, Rehena Sultana, Tze-Ern Chua, Helen Yu Chen, Alex Tiong Heng Sia, Ban Leong Sng

Abstract read
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Article in Neuropsychiatric disease and treatment, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Yanzhi ZengDepartment of Women's Anaesthesia, KK Women's and Children's Hospital, Singapore.ORCID 0000-0002-5997-6185
Chin Wen TanDepartment of Women's Anaesthesia, KK Women's and Children's Hospital, Singapore.ORCID 0000-0002-0263-6657
Rehena SultanaCentre for Quantitative Medicine, Duke-NUS Medical School, Singapore.
Tze-Ern ChuaDepartment of Psychological Medicine, KK Women's and Children's Hospital, Singapore.ORCID 0000-0001-9175-5588
Helen Yu ChenDepartment of Psychological Medicine, KK Women's and Children's Hospital, Singapore.
Alex Tiong Heng SiaDepartment of Women's Anaesthesia, KK Women's and Children's Hospital, Singapore.
Ban Leong SngDepartment of Women's Anaesthesia, KK Women's and Children's Hospital, Singapore.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposePostnatal depression (PND) is associated with maternal morbidity and socioeconomic burden. Recent studies have shown an association between pain catastrophizing, increased labor pain, and subsequent adverse postnatal adjustment; however, little is known on its role in PND development. We aimed to investigate the association between pain catastrophizing and probable PND.

methodsParturients planning to undergo epidural labor analgesia were recruited. Predelivery questionnaires, including the Pain Catastrophizing Scale (PCS) and Edinburgh Postnatal Depression Scale (EPDS), were administered during early labor. A phone survey at 5- 9 weeks postdelivery was conducted to determine postdelivery EPDS and Spielberger's State-Trait-Anxiety Inventory scores. The primary outcome was a binary variable of postdelivery EPDS with cutoff of ≥10, whereas the secondary outcome was a continuous variable on increases in EPDS score.

resultsProbable PND (EPDS ≥10) occurred in 10.5% (95% CI 8.0%-13.5%, 55 of 525) of women who underwent epidural labor analgesia. We found that high pain catastrophizing (PCS ≥25) was associated with increased postdelivery EPDS scores (adjusted

conclusionNo significant association was found between high pain catastrophizing and probable PND; however, high predelivery pain catastrophizing, presence of breakthrough pain during epidural analgesia, and lower BMI at term were associated with increased postdelivery EPDS scores. Further research will be needed to validate this association in the context of the risk of PND development.

Indexed as

breakthrough painepidural analgesiapain catastrophizingpostnatal depressive states

Identifiers

PMID32982241
PMCPMC7492715

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.