ArticleEuropean journal of pain (London, England)2021
Social support, social cohesion and pain during pregnancy: The Japan Environment and Children's Study.
Article in European journal of pain (London, England), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed.
- Exploring sources of social support during pregnancy- a qualitative study in rural southern India.BMC pregnancy and childbirth · 2026Article
- Social cohesion, trust, and utilisation of maternal health services among refugee and host community women in Bangladesh and Kenya.Disasters · 2025Article
- Prenatal weight stigma can affect relationship quality and maternal health outcomes.BMC pregnancy and childbirth · 2024Article
- Inverse Association Between Mothers' Cognitive Social Capital During Pregnancy and Postpartum Depression: The Japan Environment and Children's Study.Neuropsychiatric disease and treatment · 2024Article
- Intergenerational risk and resilience pathways from discrimination and acculturative stress to infant mental health.Development and psychopathology · 2023Article
- Social support, social cohesion and pain during pregnancy: The Japan Environment and Children's Study.European journal of pain (London, England) · 2021Article
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7 authors.
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Abstract
backgroundPersistent pain during pregnancy is a significant health issue, which could be correlated with psychological distress resulting from inadequate social support. This study aims to investigate whether the relationship between poor social support and antenatal pain is mediated by psychological distress. We also aimed to examine whether social cohesion moderates the influence of psychological distress on the relationship between social support and antenatal pain.
methodsWe analysed 94,517 pregnancies of women from a Japanese national birth cohort completed questionnaires assessing pain, psychological distress, social support and social cohesion. Psychological distress was assessed using the Kessler Psychological Distress Scale. Two types of models were used: the mediation model to examine whether the association between social support and pain was mediated by psychological distress; the moderated mediation model to analyse whether social cohesion buffered the negative effect of inadequate social support on pain. Demographic, socioeconomic and psychological factors were controlled for in all analyses.
resultsPsychological distress was fully mediated the association between social support and pain. Social cohesion had a focal moderation effect on the inverse association between social support and psychological distress (unstandardized regression coefficient [β] = 0.09; 95% CI, 0.07-0.11) and functioned as moderator for the indirect effect of social support on antenatal pain (index of moderated mediation = 0.006; 95% CI, 0.004-0.007).
conclusionsPoor social support was related to antenatal pain through psychological distress, possibly buffered by social cohesion. During the antenatal period, social support and cohesion are important for women. SIGNIFICANCE: In this study, poor social support was found to be associated with pain intensity during pregnancy, which was mediated by psychological distress and might be buffered by desirable social cohesion. This finding could potentially help healthcare providers and policy makers to understand the importance of desirable social cohesion in preventing pain among pregnant women.
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