ORIGINAL PAPER
Quantitative evaluation of low back and labor pain. Memory of pain experienced during labor and the intensity of low back pain in older women with discopathy
 
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Online publication date: 2014-02-04
 
 
Health Psychology Report 2013;1(1):63-71
 
KEYWORDS
ABSTRACT
Background
The aim of this study was to determine the intensity of previously experienced labor pains in the context of self-evaluated intensity of discopathy-related low back pain in female patients.

Participants and procedure
The retrospective study included 57 women who received neurosurgical consultation under ambulatory conditions. The intensity of low back pain experienced by every patient was scored using the 11-grade Numeric Rating Scale (NRS-11; ranging from 0 to 10 points). Simultaneously, an obstetrical history was collected from every patient (year of delivery, intensity of labor pain assessed with NRS-11).

Results
Overall, 57 women, aged between 27 and 88 years (mean 52.8 ±15.6 years), were examined. The age at delivery ranged between 17 and 35 years (mean 25.6 ±5.6 years). The patient-reported intensity of pain in the lumbosacral spine, assessed with NRS-11, ranged between 5 and 10 points (mean 7.9 ±1.7 points), while the intensity of labor pain ranged between 3 and 10 points (mean 8.6 ±1.9 points). Labor pain was perceived as more significantly intense than low back pain localized in the lumbosacral spine. In four cases (7%), the intensity of low back pain was re-scored upon asking about the intensity of previous labor pain.

Conclusions
Labor pain experienced during full-term vaginal delivery is characterized by significantly higher intensity as compared to low back pain. The memory of pain experienced during previous labors can attenuate the intensity of discopathy-related low back pain.
REFERENCES (23)
1.
Banasiewicz, J. & Wójtowicz, S. (2010). The quality of life after cesarean section. Acta Neuropsychologica, 8, 273-283.
 
2.
Barkwell, D.P. (1991). Ascribed meaning: a critical factor in coping and pain attenuation in patients with cancer related pain. Journal of Palliative Care, 7, 5-14.
 
3.
Bielawska-Batorowicz, E. (2006). Psychologiczne aspekty prokreacji [Psychological aspects of procreation] (pp. 183-221). Katowice: Biblioteka Pracownika Socjalnego.
 
4.
Breivik, H., Borchgrevink, P.C., Allen, S.M., Rosseland, L.A., Romundstad, L., Hals, E.K., Kvarstein, G. & Stubhaug, A. (2008). Assessment of pain. British Journal of Anaesthesia, 101, 17-24.
 
5.
Bushnell, M.C., Villemure, C. & Duncan, G.H. (2004). Psychophysical and neurophysiological studies of pain modulation by attention. In: D.D. Price & M.C. Bushnell (eds.). Psychological methods of pain control: progress in pain research and management (Vol. 29, pp. 99-167). Seattle: IASP Press.
 
6.
de Walden-Gałuszko, K. (2001). Psychologiczne aspekty bólu. Przewodnik Lekarza, 4, 58-59.
 
7.
de Walden-Gałuszko, K. (2007). Psychologiczne aspekty bólu i jego leczenia. Medycyna Paliatywna w Praktyce, 1, 66-70.
 
8.
de Walden-Gałuszko, K., Majkowicz, M., Janiszewska, J. & Jankowska, B. (2008). Uwarunkowania psychologiczne percepcji bólu przewlekłego. Badanie porównawcze chorych z różnym patomechanizmem bólu. Psychoonkologia, 12, 1-6.
 
9.
Fernandez, E. (2002). Anxiety, depression and anger in pain. (pp. 183-234). Dallas: Advanced Psychological Resources Inc.
 
10.
Gallagher, R.M. & Verma, S. (2004). Mood and anxiety disorders in chronic pain. In: R.H. Dworkin & W.S. Breitbart (eds.). Psychosocial aspects of pain: progress in pain research and management (Vol. 27, pp. 139-178). Seattle: IASP Press.
 
11.
Golec, A. & Dobrogowski, J. (2004). Zaburzenia depresyjne i ból przewlekły. Ból, 5, 35-43.
 
12.
Golec, A. (2000). Podstawy psychologii bólu. Nowa Klinika, 7, 933-938.
 
13.
Golec, A. (2004). Psychologiczne aspekty bólu. In: J. Dobrogowski & J. Wordliczek (eds.). Medycyna bólu [Pain Medicine] (pp. 72-87). Warszawa: Wydawnictwo Lekarskie PZWL.
 
14.
Hadjistavropoulos, H.D. & Craig, K.D. (1994). Acute and chronic low back pain: cognitive, affective, and behavioral dimensions. Journal of Consulting & Clinical Psychology, 62, 341-349.
 
15.
Hawker, G.A., Mian, S., Kendzierska, T. & French, M. (2011). Measures of adult pain. Arthritis Care and Research, 63 (Suppl. 11), S240-S252.
 
16.
IASP (2012). Website of the International Association for the Study of Pain: http://www.iasp-pain.org/. (Accessed: March 3rd, 2012).
 
17.
Kerns, R.D., Rosenberg, R. & Jacob, M.C. (1994). Anger expression and chronic pain. Journal of Behavioral Medicine, 17, 57-67.
 
18.
Lowe, N.K. (1996). The pain and discomfort of labor and birth. Journal of Obstetric, Gynecologic & Neonatal Nursing, 25, 82-92.
 
19.
Niven, C. & Gijsbers, K. (1984). A study of labour pain using the McGill Pain Questionnaire. Social Science & Medicine, 19, 1347-1351.
 
20.
Parada-Turska, J., Piotrowski, M. & Szczepański, L. (2002). Medyczne i pozamedyczne problemy bólu przewlekłego. Reumatologia, 40, 250-256.
 
21.
Podolska, M. & Majewska, A. (2007). Lęk jako stan i jako cecha w grupie kobiet, u których zakończono ciążę za pomocą cięcia cesarskiego. Kliniczna Perinatologia i Ginekologia, 43, 56-60.
 
22.
Podolska, M. (2001). Sposoby walki z lękiem i stresem u kobiet rodzących w opiniach personelu medycznego szpitalnych oddziałów położniczych. Zeszyty Naukowe Uniwersytetu Szczecińskiego, 311, 113-123.
 
23.
Tasnim, S. (2010). Perception about pain relief during normal labour among health care providers conducting delivery. Medicine Today, 22, 20-23.
 
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