Evidence map›Paper›PMID 37478517›Full record

ArticleGeneral hospital psychiatry

Trends in chronic pain conditions among delivering women with and without mood and anxiety disorders.

Vanessa K Dalton, Andrea Pangori, Sawsan As-Sanie, Karen M Tabb, Stephanie Hall, Anca Tilea, Amy Schroeder, Jennifer Burgess, Kara Zivin

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in General hospital psychiatry. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
–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

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Beyond the surface: understanding psychiatric disorders in individuals with spinal cord injury- a narrative exploration.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2025
    Review
  4. Observational
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

9 authors.

Vanessa K DaltonDepartment of Obstetrics and Gynecology, University of Michigan, Ann Arbor, MI, USA. Electronic address: daltonvk@umich.edu.
Andrea PangoriDepartment of Obstetrics and Gynecology, University of Michigan, Ann Arbor, MI, USA.
Sawsan As-SanieDepartment of Obstetrics and Gynecology, University of Michigan, Ann Arbor, MI, USA.
Karen M TabbUniversity of Illinois at Urbana-Champaign, School of Social Work, Chicago, IL, USA.
Stephanie HallDepartment of Psychiatry, University of Michigan Medical School, Ann Arbor, MI, USA.
Anca TileaDepartment of Obstetrics and Gynecology, University of Michigan, Ann Arbor, MI, USA.
Amy SchroederDepartment of Psychiatry, University of Michigan Medical School, Ann Arbor, MI, USA.
Jennifer BurgessVA Ann Arbor Healthcare System, Ann Arbor, MI, USA.
Kara ZivinDepartment of Obstetrics and Gynecology, University of Michigan, Ann Arbor, MI, USA; Department of Psychiatry, University of Michigan Medical School, Ann Arbor, MI, USA; VA Ann Arbor Healthcare System, Ann Arbor, MI, USA; Department of Health Management and Policy, University of Michigan School of Public Health, Ann Arbor, MI, USA.

Funding

Disparities in utilization and delivery outcomes for women with perinatal mood and anxiety disorders (PMAD): groundwork for state policymakingR01MD014958 · NIMHD · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI ZIVIN, KARA · 2021 to 2025
$3.2M
Relationship between mental health coverage and outcomes for privately insured women with perinatal mood and anxiety disorders (PMAD)R01MH120124 · NIMH · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI ZIVIN, KARA · 2019 to 2022
$2.8M
HSRD VA IK6 HX003397NIMHD NIH HHS R01 MD014958NIMH NIH HHS R01 MH120124
6 · The paper itself

Abstract

objectiveThe co-existence of chronic pain conditions with anxiety and/or depression is common in the general population but poorly described during pregnancy. In this study, we sought to describe trends in chronic pain among a sample of delivering people and describe the co-existence of chronic pain with anxiety and/or depression among delivering people.

methodsThis cross-sectional study used data from Optum's de-identified Clinformatics® Data Mart Database between 2008 and 2021, for delivering persons with coverage by single employer-based health plan. We computed predicted margins from generalized estimating equations to determine the marginal predicted probability of chronic pain among all delivering and non-delivering persons who identify as women with and without diagnosed anxiety and/or depression.

resultsMusculoskeletal and pelvic pain occurred most often regardless of delivering status. Delivering persons with anxiety and/or depression had higher marginal predicted probabilities of chronic pain compared to all delivering persons. Between 2008 and 2021, the predicted probabilities ranged from 0.400 to 0.527 and 0.221-0.261, respectively.

conclusionChronic pain conditions are common in pregnancy and nearly two times higher among individuals with anxiety and/or depression. The frequency of comorbid depression and/or anxiety with pain disorders among delivering persons highlights the importance of proper detection, coordination of care, and safe treatment options for this population.

Indexed as

Anxiety DisordersChronic PainAnxietyChronic DiseaseCross-Sectional StudiesDepressionFemaleHumansPregnancyAnxietyDepressionMental healthPainPregnancy

Identifiers

PMID37478517
PMCPMC10874621

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.