Psychological determinants of pregnancy-related lumbopelvic pain: a prospective cohort study

Esther C Bakker*, Carola W van Nimwegen-Matzinger, Winneke Ekkel-van der Voorden, Marjan D Nijkamp, Trijntje Völlink

*Corresponding author for this work

    Research output: Contribution to journalArticleAcademicpeer-review

    Abstract

    OBJECTIVE: To study whether pregnancy-related lumbopelvic pain outcomes at 36 weeks of gestation can be predicted by psychological determinants earlier in pregnancy.

    DESIGN: Prospective cohort study.

    SETTING: Nine midwifery practices in different regions of the Netherlands.

    POPULATION: A cohort of 223 low-risk pregnant women in the Netherlands was followed from week 12 of gestation until 36 weeks of gestation.

    METHODS: Both psychological determinants and lumbopelvic pain symptoms were investigated with a set of questionnaires at 12, 24 and 36 weeks of gestation. Psychological determinants were measured with the Perceived Stress Scale (PSS), the Symptom Checklist-90-Revised (SCL-90), the Pregnancy-related Anxiety Questionnaire (PRAQ), and the Utrecht Coping List (UCL). Lumbopelvic pain outcomes were measured with the Pregnancy Mobility Index (PMI) and the Overall Complaints Index (OCI).

    MAIN OUTCOME MEASURES: Lumbopelvic pain symptoms and their impact at 36 weeks of gestation.

    RESULTS: There was a significant increase in scores on both the PMI and OCI across the three sampling occasions in pregnancy. Lumbopelvic pain outcomes showed significant associations with the psychological determinants perceived stress and recently perceived psychological and physical distress at all three times during pregnancy. Pregnancy-related anxiety was not a significant predictor of lumbopelvic pain outcomes, neither was coping.

    CONCLUSIONS: Lumbopelvic pain symptoms and their impact on daily activities at 36 weeks of gestation can be predicted by psychological determinants earlier in pregnancy; the combination of perceived stress and physical disability at 24 weeks of pregnancy seems to be the best predictor of disability in later pregnancy.

    Original languageEnglish
    Pages (from-to)797-803
    Number of pages7
    JournalActa Obstetricia et Gynecologica Scandinavica
    Volume92
    Issue number7
    Early online date29 Mar 2013
    DOIs
    Publication statusPublished - Jul 2013

    Fingerprint

    Cohort Studies
    Prospective Studies
    Psychology
    Pain
    Pregnancy
    Netherlands
    Anxiety
    Midwifery
    Checklist
    Pregnant Women

    Keywords

    • Adaptation, Psychological
    • Adult
    • Anxiety
    • Disability Evaluation
    • Female
    • Follow-Up Studies
    • Humans
    • Linear Models
    • Low Back Pain/psychology
    • Netherlands
    • Pelvic Girdle Pain/psychology
    • Pregnancy
    • Pregnancy Complications/psychology
    • Pregnancy Trimesters/psychology
    • Prospective Studies
    • Psychological Tests
    • Stress, Psychological
    • Surveys and Questionnaires
    • Lumbopelvic pain
    • pelvic girdle pain
    • psychological factors
    • risk factors
    • stress

    Cite this

    @article{300f7415b28647d4b9487d0ad9e805e0,
    title = "Psychological determinants of pregnancy-related lumbopelvic pain: a prospective cohort study",
    abstract = "OBJECTIVE: To study whether pregnancy-related lumbopelvic pain outcomes at 36 weeks of gestation can be predicted by psychological determinants earlier in pregnancy.DESIGN: Prospective cohort study.SETTING: Nine midwifery practices in different regions of the Netherlands.POPULATION: A cohort of 223 low-risk pregnant women in the Netherlands was followed from week 12 of gestation until 36 weeks of gestation.METHODS: Both psychological determinants and lumbopelvic pain symptoms were investigated with a set of questionnaires at 12, 24 and 36 weeks of gestation. Psychological determinants were measured with the Perceived Stress Scale (PSS), the Symptom Checklist-90-Revised (SCL-90), the Pregnancy-related Anxiety Questionnaire (PRAQ), and the Utrecht Coping List (UCL). Lumbopelvic pain outcomes were measured with the Pregnancy Mobility Index (PMI) and the Overall Complaints Index (OCI).MAIN OUTCOME MEASURES: Lumbopelvic pain symptoms and their impact at 36 weeks of gestation.RESULTS: There was a significant increase in scores on both the PMI and OCI across the three sampling occasions in pregnancy. Lumbopelvic pain outcomes showed significant associations with the psychological determinants perceived stress and recently perceived psychological and physical distress at all three times during pregnancy. Pregnancy-related anxiety was not a significant predictor of lumbopelvic pain outcomes, neither was coping.CONCLUSIONS: Lumbopelvic pain symptoms and their impact on daily activities at 36 weeks of gestation can be predicted by psychological determinants earlier in pregnancy; the combination of perceived stress and physical disability at 24 weeks of pregnancy seems to be the best predictor of disability in later pregnancy.",
    keywords = "Adaptation, Psychological, Adult, Anxiety, Disability Evaluation, Female, Follow-Up Studies, Humans, Linear Models, Low Back Pain/psychology, Netherlands, Pelvic Girdle Pain/psychology, Pregnancy, Pregnancy Complications/psychology, Pregnancy Trimesters/psychology, Prospective Studies, Psychological Tests, Stress, Psychological, Surveys and Questionnaires, Lumbopelvic pain, pelvic girdle pain, psychological factors, risk factors, stress",
    author = "Bakker, {Esther C} and {van Nimwegen-Matzinger}, {Carola W} and {Ekkel-van der Voorden}, Winneke and Nijkamp, {Marjan D} and Trijntje V{\"o}llink",
    note = "{\circledC} 2013 The Authors Acta Obstetricia et Gynecologica Scandinavica {\circledC} 2013 Nordic Federation of Societies of Obstetrics and Gynecology.",
    year = "2013",
    month = "7",
    doi = "10.1111/aogs.12131",
    language = "English",
    volume = "92",
    pages = "797--803",
    journal = "Acta Obstetricia et Gynecologica Scandinavica",
    issn = "0001-6349",
    publisher = "Wiley-Blackwell",
    number = "7",

    }

    Psychological determinants of pregnancy-related lumbopelvic pain : a prospective cohort study. / Bakker, Esther C; van Nimwegen-Matzinger, Carola W; Ekkel-van der Voorden, Winneke; Nijkamp, Marjan D; Völlink, Trijntje.

    In: Acta Obstetricia et Gynecologica Scandinavica, Vol. 92, No. 7, 07.2013, p. 797-803.

    Research output: Contribution to journalArticleAcademicpeer-review

    TY - JOUR

    T1 - Psychological determinants of pregnancy-related lumbopelvic pain

    T2 - a prospective cohort study

    AU - Bakker, Esther C

    AU - van Nimwegen-Matzinger, Carola W

    AU - Ekkel-van der Voorden, Winneke

    AU - Nijkamp, Marjan D

    AU - Völlink, Trijntje

    N1 - © 2013 The Authors Acta Obstetricia et Gynecologica Scandinavica © 2013 Nordic Federation of Societies of Obstetrics and Gynecology.

    PY - 2013/7

    Y1 - 2013/7

    N2 - OBJECTIVE: To study whether pregnancy-related lumbopelvic pain outcomes at 36 weeks of gestation can be predicted by psychological determinants earlier in pregnancy.DESIGN: Prospective cohort study.SETTING: Nine midwifery practices in different regions of the Netherlands.POPULATION: A cohort of 223 low-risk pregnant women in the Netherlands was followed from week 12 of gestation until 36 weeks of gestation.METHODS: Both psychological determinants and lumbopelvic pain symptoms were investigated with a set of questionnaires at 12, 24 and 36 weeks of gestation. Psychological determinants were measured with the Perceived Stress Scale (PSS), the Symptom Checklist-90-Revised (SCL-90), the Pregnancy-related Anxiety Questionnaire (PRAQ), and the Utrecht Coping List (UCL). Lumbopelvic pain outcomes were measured with the Pregnancy Mobility Index (PMI) and the Overall Complaints Index (OCI).MAIN OUTCOME MEASURES: Lumbopelvic pain symptoms and their impact at 36 weeks of gestation.RESULTS: There was a significant increase in scores on both the PMI and OCI across the three sampling occasions in pregnancy. Lumbopelvic pain outcomes showed significant associations with the psychological determinants perceived stress and recently perceived psychological and physical distress at all three times during pregnancy. Pregnancy-related anxiety was not a significant predictor of lumbopelvic pain outcomes, neither was coping.CONCLUSIONS: Lumbopelvic pain symptoms and their impact on daily activities at 36 weeks of gestation can be predicted by psychological determinants earlier in pregnancy; the combination of perceived stress and physical disability at 24 weeks of pregnancy seems to be the best predictor of disability in later pregnancy.

    AB - OBJECTIVE: To study whether pregnancy-related lumbopelvic pain outcomes at 36 weeks of gestation can be predicted by psychological determinants earlier in pregnancy.DESIGN: Prospective cohort study.SETTING: Nine midwifery practices in different regions of the Netherlands.POPULATION: A cohort of 223 low-risk pregnant women in the Netherlands was followed from week 12 of gestation until 36 weeks of gestation.METHODS: Both psychological determinants and lumbopelvic pain symptoms were investigated with a set of questionnaires at 12, 24 and 36 weeks of gestation. Psychological determinants were measured with the Perceived Stress Scale (PSS), the Symptom Checklist-90-Revised (SCL-90), the Pregnancy-related Anxiety Questionnaire (PRAQ), and the Utrecht Coping List (UCL). Lumbopelvic pain outcomes were measured with the Pregnancy Mobility Index (PMI) and the Overall Complaints Index (OCI).MAIN OUTCOME MEASURES: Lumbopelvic pain symptoms and their impact at 36 weeks of gestation.RESULTS: There was a significant increase in scores on both the PMI and OCI across the three sampling occasions in pregnancy. Lumbopelvic pain outcomes showed significant associations with the psychological determinants perceived stress and recently perceived psychological and physical distress at all three times during pregnancy. Pregnancy-related anxiety was not a significant predictor of lumbopelvic pain outcomes, neither was coping.CONCLUSIONS: Lumbopelvic pain symptoms and their impact on daily activities at 36 weeks of gestation can be predicted by psychological determinants earlier in pregnancy; the combination of perceived stress and physical disability at 24 weeks of pregnancy seems to be the best predictor of disability in later pregnancy.

    KW - Adaptation, Psychological

    KW - Adult

    KW - Anxiety

    KW - Disability Evaluation

    KW - Female

    KW - Follow-Up Studies

    KW - Humans

    KW - Linear Models

    KW - Low Back Pain/psychology

    KW - Netherlands

    KW - Pelvic Girdle Pain/psychology

    KW - Pregnancy

    KW - Pregnancy Complications/psychology

    KW - Pregnancy Trimesters/psychology

    KW - Prospective Studies

    KW - Psychological Tests

    KW - Stress, Psychological

    KW - Surveys and Questionnaires

    KW - Lumbopelvic pain

    KW - pelvic girdle pain

    KW - psychological factors

    KW - risk factors

    KW - stress

    U2 - 10.1111/aogs.12131

    DO - 10.1111/aogs.12131

    M3 - Article

    C2 - 23465064

    VL - 92

    SP - 797

    EP - 803

    JO - Acta Obstetricia et Gynecologica Scandinavica

    JF - Acta Obstetricia et Gynecologica Scandinavica

    SN - 0001-6349

    IS - 7

    ER -