Influence of kinesiophobia with pregnancy-related lumbopelvic pain at late pregnancy on postpartum depressive symptoms

Abstract

To investigate whether kinesiophobia with pregnancy-related lumbopelvic pain at late pregnancy influenced depressive symptoms at 1 month after delivery. Method: Final participants were 43 pregnant women who experienced pregnancy-related lumbopelvic pain at late pregnancy and completed self-reported questionnaires at late pregnancy and 1 month after delivery. The Tampa Scale for Kinesiophobia was used to evaluate kinesiophobia, and depressive symptoms were assessed using the Self-Rating Depression Scale. We divided participants into two groups (depression and no-depression) using the score of the Self-Rating Depression Scale at 1 month after delivery. Univariate analysis and multiple logistic regression analysis identified kinesiophobia at late pregnancy as an independent predictor of depression at 1 month after delivery. Results: In univariate analysis, kinesiophobia at late pregnancy was significantly higher in the depression group than in the no-depression group (P= .033). In multiple logistic regression analysis, kinesiophobia at late pregnancy were significantly associated with depression at 1 month after delivery even after adjusting for confounding factors (Odds Ratio, 1.25; 95% Confidence Interval, 1.03-1.52). Conclusion: Results found that kinesiophobia at late pregnancy negatively influenced depressive symptoms at 1 month after delivery, suggesting that approaches to treat kinesiophobia at late pregnancymight reduce the risk of onset of postpartum depressive symptoms.

The Relationship Between Pregnancy-Related Low Back Pain, Kinesiophobia, and Physical Activity in the Third Trimester

“…Original Article to pregnancy-related low back pain in late pregnancy and reported that kinesiophobia negatively affected depressive symptoms 1 month after delivery (2).…”

“…Pregnancy is a natural phenomenon, during which women experience physical, physiological, biomechanical, and psychological changes (1)(2)(3). Physical problems experienced during pregnancy differ according to the characteristics of the mother, the pregnancy process, and the trimesters.…”

“…Kinesiophobia, which is also defined as the avoidance of movement, anxiety about movement, or fear of pain due to movement, may develop in patients with low back pain (8,9). Some activities during pregnancy can increase low back pain, and increased musculoskeletal pain brings on pain-related fear that leads to avoidance of activities (2,10,11). Considering that pregnancy-related low back pain in pregnant women will negatively affect daily life activities, the fear of movement may increase as pregnancy progresses (2).…”

“…Some activities during pregnancy can increase low back pain, and increased musculoskeletal pain brings on pain-related fear that leads to avoidance of activities (2,10,11). Considering that pregnancy-related low back pain in pregnant women will negatively affect daily life activities, the fear of movement may increase as pregnancy progresses (2). There is limited literature investigating kinesiophobia in pregnancy and almost all of the studies investigating the relationship between pregnancy-related low back pain and kinesiophobia focus on the postpartum period (2,10,11).…”

“…Considering that pregnancy-related low back pain in pregnant women will negatively affect daily life activities, the fear of movement may increase as pregnancy progresses (2). There is limited literature investigating kinesiophobia in pregnancy and almost all of the studies investigating the relationship between pregnancy-related low back pain and kinesiophobia focus on the postpartum period (2,10,11). In a study investigating pregnant women in the postpartum period, higher levels of kinesiophobia were reported in moderately disabled cases due to pregnancy-related low back pain (10).…”