Catastrophizing pain in the perinatal period in postnatal maternal psychological outcomes: scoping review
Catastrofização da dor no período perinatal em desfechos psicológicos maternos pós-natais: revisão de escopo
Anne Caroline Nunes Carmo; Paula Muniz Machado; Mani Indiana Funez
Abstract
BACKGROUND AND OBJECTIVES: There are several conditions that can influence the experience of parturition and experiences related to labor pain. These aspects can result in important psychological outcomes in the postpartum period. Painful responses are mediated in different ways, and catastrophizing is one of the related variables. The objective of the present study was to map the evidence about the impact of pain catastrophizing in the perinatal period on postnatal maternal psychological outcomes, such as baby blues, anxiety disorders, postpartum depression and psychosis, up to three months after delivery.
CONTENTS: A literature scope review, was carried out with the following question: “What is the impact of pain catastrophizing in the perinatal period on postnatal maternal psychological outcomes”? The search for studies that made up the sample was carried out on July 31, 2023, using the Pubmed, Cochrane Library, Virtual Health Library and Science Direct databases. 113 documents were identified and based on the selection, four articles were included in the sample, all of them prospective/observational studies. The impact of catastrophizing on outcomes was evaluated: state-trait anxiety, postpartum depression, perceived stress, mother-infant interactions, maternal blues and social functioning.
CONCLUSION: It was shown that the catastrophizing of pain in the perinatal period is related to worse postnatal maternal psychological outcomes.
Keywords
Resumo
JUSTIFICATIVA E OBJETIVOS: São diversas as condições que podem influenciar a experiência de parturição e vivências relacionadas à dor do parto. Esses aspectos podem resultar em desfechos psicológicos importantes no pós-parto. A mediação das respostas dolorosas ocorre de diferentes formas, e a catastrofização é uma das variáveis relacionadas. O objetivo deste estudo foi mapear as evidências acerca do impacto da catastrofização da dor no período perinatal em desfechos psicológicos maternos pós-natais, como baby blues, transtornos de ansiedade, depressão pós-parto e psicose, até três meses após o parto.
CONTEÚDO: Foi realizada revisão de escopo da literatura, com a seguinte pergunta: “Qual o impacto da catastrofização da dor no período perinatal em desfechos psicológicos maternos pós-natais?”. A busca dos estudos que compuseram a amostra foi realizada em 31 de julho de 2023 utilizando as bases de dados Pubmed, Cochrane Library, Biblioteca Virtual da Saúde e Science Direct. Foram identificados 113 documentos e, a partir do processo de seleção, foram incluídos na amostra quatro artigos, todos eles estudos prospectivos/observacionais. Foi avaliado o impacto da catastrofização nos desfechos: ansiedade estado-traço, depressão pós-parto, estresse percebido, interações mãe-bebê, maternal blues e funcionamento social.
CONCLUSÃO: Evidenciou-se que a catastrofização da dor no período perinatal está relacionada a piores desfechos psicológicos maternos pós-natais.
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References
1 Lowe N. The nature of labor pain. Am J Obstet Gynecol. 2002;186(5):S16-24.
2 Farley D, Piszczek Ł, Bąbel P. Why is running a marathon like giving birth? The possible role of oxytocin in the underestimation of the memory of pain induced by labor and intense exercise. Med Hypotheses. 2019;128:86-90.
3 Waldenstrom U, Hildingsson I, Rubertsson C, Radestad I. A negative birth experience: prevalence and risk factors in a national sample. Birth. 2004;31(1): 17-27.
4 American Psychiatric Association (APA). Manual diagnóstico e estatístico de transtornos mentais: DSM-5. 5a ed. Porto Alegre: Artmed, 2014. Available from:
5 Shlomi Polachek I, Huller Harari L, Baum M, Strous RD. Postpartum anxiety in a cohort of women from the general population: risk factors and association with depression during last week of pregnancy, postpartum depression and postpartum PTSD. Isr J Psychiatry Relat Sci. 2014;51(2):128-34.
6 Rosseland LA, Reme SE, Simonsen TB, Thoresen M, Nielsen CS, Gran ME. Are labor pain and birth experience associated with persistent pain and postpartum depression? A prospective cohort study. Scand J Pain. 2020;20(3):591-602.
7 Boudou M, Teissèdre F, Walburg V, Chabrol H. Relation entre l’intensité de la douleur de l’accouchement et celle du postpartum blues. Encephale. 2007;33(5):805-10.
8 Nonacs R, Cohen LS. Postpartum mood disorders: diagnosis and treatment guidelines. J Clin Psychiatry. 1998;59(Suppl 2):34-40.
9 Tosto V, Ceccobelli M, Lucarini E, Tortorella A, Gerli S, Parazzini F, Favilli A. Maternity blues: a narrative review. J Pers Med. 2023;13(1):154.
10 Sharma I, Rai S, Pathak A. Postpartum psychiatric disorders: early diagnosis and management. Indian J Psychiatry. 2015;57(6):216.
11 Altshuler LL, Cohen L, Szuba MP, Burt VK, Gitlin M, Mintz J. Pharmacologic management of psychiatric illness during pregnancy: dilemmas and guidelines. Am J Psychiatry. 1996;153(5):592-606.
12 Matthey S, Barnett B, Howie P, Kavanagh DJ. Diagnosing postpartum depression in mothers and fathers: whatever happened to anxiety? J Affect Disord. 2003;74(2):139-47.
13 Sullivan MJL, Thorn B, Haythornthwaite JA, Keefe F, Martin M, Bradley LA, Lefebvre JC. Theoretical perspectives on the relation between catastrophizing and pain. Clin J Pain. 2001;17(1):52-64.
14 Sullivan MJL, Bishop SR, Pivik J. The pain catastrophizing scale: development and validation. Psychol Assess. 1995;7(4):524-32.
15 Sullivan M. The pain catastrophizing scale: user manual. Montreal: McGill University; 2009. p. 1 –36.
16 Darnall BD, Sturgeon JA, Cook KF, Taub CJ, Roy A, Burns JW, Sullivan M, Mackey SC. Development and validation of a daily pain catastrophizing scale. J Pain. 2017;18(9):1139-49.
17 Frumkin MR, Greenberg JK, Boyd P, Javeed S, Shayo B, Shin J, Wilson EA, Zhang JK, Sullivan MJL, Haroutounian S, Rodebaugh TL. Establishing the reliability, validity, and prognostic utility of the momentary pain catastrophizing scale for use in ecological momentary assessment research. J Pain. 2023;24(8):1423-33.
18 Rondung E, Ekdahl J, Sundin O. Potential mechanisms in fear of birth: the role of pain catastrophizing and intolerance of uncertainty. Birth. 2019;46(1):61-8.
19 Veringa I, Buitendijk S, de Miranda E, de Wolf S, Spinhoven P. Pain cognitions as predictors of the request for pain relief during the first stage of labor: a prospective study. J Psychosom Obstet Gynaecol. 2011;32(3):119-25.
20 Peralta FM, Condon LP, Torrez D, Neumann KE, Pollet AL, McCarthy RJ. Association of pain catastrophizing with labor pain and analgesia consumption in obstetrical patients. Int J Obstet Anesth. 2023;10:103954.
21 Richtlijn Medicamenteuze Pijnbehandeling Tijdens de Bevalling. Nederlandse Vereniging voor Anesthesiologie en Nederlandse Vereniging voor Obstetrie en Gynaecologie, Utrecht 2008.
22 Peters MDJ, Godfrey C, McInerney P, Munn Z, Tricco AC, Khalil, H. Chapter 11: Scoping Reviews (2020 version). In: Aromataris E, Munn Z (Editors). JBI Manual for Evidence Synthesis, JBI, 2020.
23 Tricco AC, Lillie E, Zarin W, O’Brien KK, Colquhoun H, Levac D, Moher, D, Peters, MD, Horsley, T, Weeks, L, Hempel, S et al. PRISMA extension for Scoping Reviews (PRISMA-ScR): Checklist and explanation. Ann Intern Med. 2018;169(7):467-73.
24 Organização Mundial da Saúde. Classificação Internacional de Doenças e problemas relacionados com a Saúde. OMS/CID-10. 1994;2. Disponível em:
25 EndNote Web. Clarivate [internet]. Estados Unidos. [acesso em: 31 jul 2023]. Disponível em:
26 Ouzzani M, Hammady H, Fedorowicz Z, Elmagarmid A. Rayyan-a web and mobile app for systematic reviews. Syst Rev. 2016;5(1):210.
27 Working Group ‘The Oxford 2011 Levels of Evidence’: Oxford Centre for Evidence-Based. Medicine Oxford, 2011.
28 Joanna Briggs Institute (JBI). Critical Appraisal Tools [internet]. Australia.[acesso em:14 de mai 2024]. Disponível em:
29 Polmann H, Melo G, Conti Réus J, Domingos FL, de Souza BDM, Padilha AC, Duque TM, Porporatti AL, Flores-Mir C, De Luca Canto G. Prevalence of dentofacial injuries among combat sports practitioners: A systematic review and meta-analysis. Dent Traumatol. 2020;36(2):124-40.
30 Ferber SG, Granot M, Zimmer EZ. Catastrophizing labor pain compromises later maternity adjustments. Am J Obstet Gynecol. 2005;192(3):826-31.
31 Ferber SG, Feldman R. Delivery pain and the development of mother-infant interaction. Infancy. 2005;8(1):43-62.
32 Lim G, LaSorda KR, Farrell LM, McCarthy AM, Facco F, Wasan AD. Obstetric pain correlates with postpartum depression symptoms: a pilot prospective observational study. BMC Pregnancy Childbirth. 2020;20(1):240.
33 Zeng Y, Tan CW, Sultana R, Chua TE, Chen HY, Sia ATH, Sng BL. Association of pain catastrophizing with postnatal depressive states in nulliparous parturients: a prospective study. Neuropsychiatr Dis Treat. 2020;16:1853-62.
34 Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD, et al. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ. 2021;372:n71.
35 Cox JL, Holden JM, Sagovsky R. Detection of postnatal depression. Development of the 10-item Edinburgh Postnatal Depression Scale. Br J Psychiatry. 1987;150:782-6.
36 Sydeman S. State-trait anxiety inventory. In: Encyclopedia of Personality and Individual Differences. Cham: Springer International Publishing; 2018. 1-3p.
37 Cohen S, Kamarck T, Mermelstein R. A global measure of perceived stress. J Health Soc Behav. 1983;24(4):385-96.
38 Feldman R. Coding interactive behavior manual. Bar-Ilan University, Israel; 1998.
39 Ware JE Jr, Sherbourne CD. The MOS 36-item short-form health survey (SF-36). I. Conceptual framework and item selection. Med Care. 1992 Jun;30(6):473-83.
40 Ware JE, Snow KK, Kosinski M. SF-36 Health Survey. Manual and interpretation guide. Boston; 1993.
41 Whitburn LY, Jones LE, Davey MA, Small R. Women’s experiences of labour pain and the role of the mind: an exploratory study. Midwifery. 2014;30(9): 1029-35.
42 Sehn F, Chachamovich E, Vidor LP, Dall-Agnol L, de Souza IC, Torres IL, Fregni F, Caumo W. Cross-cultural adaptation and validation of the Brazilian Portuguese version of the pain catastrophizing scale. Pain Med. 2012;13(11): 1425-35.
43 Olza I, Uvnas-Moberg K, Ekström-Bergström A, Leahy-Warren P, Karlsdottir SI, Nieuwenhuijze M, Villarmea S, Hadjigeorgiou E, Kazmierczak M, Spyridou A, Buckley S. Birth as a neuro-psycho-social event: An integrative model of maternal experiences and their relation to neurohormonal events during childbirth. PLoS One. 2020;15(7):e0230992.
44 Flink IK, Mroczek MZ, Sullivan MJL, Linton SJ. Pain in childbirth and postpartum recovery: the role of catastrophizing. Eur J Pain. 2009;13(3):312-6.
45 Van den Bussche E, Crombez G, Eccleston C, Sullivan MJL. Why women prefer epidural analgesia during childbirth: the role of beliefs about epidural analgesia and pain catastrophizing. Eur J Pain. 2007;11(3):275-82.
46 Deng Y, Lin Y, Yang L, Liang Q, Fu B, Li H, Zhang H, Liu Y. A comparison of maternal fear of childbirth, labor pain intensity and intrapartum analgesic consumption between primiparas and multiparas: A cross-sectional study. Int J Nurs Sci. 2021;8(4):380-7.
47 Capogna G, Camorcia M, Stirparo S, Valentini G, Garassino A, Farcomeni A. Multidimensional evaluation of pain during early and late labor: a comparison of nulliparous and multiparous women. Int J Obstet Anesth. 2010;19(2):167-70.
48 Martínez-Galiano JM, Hernández-Martínez A, Rodríguez-Almagro J, Delgado-Rodríguez M, Gómez-Salgado J. Relationship between parity and the problems that appear in the postpartum period. Sci Rep. 2019;9(1):11763.
49 Escott D, Slade P, Spiby H. Preparation for pain management during childbirth: the psychological aspects of coping strategy development in antenatal education. Clin Psychol Rev. 2009;29(7):617-22.
50 Sim XLJ, Tan CW, Yearn CT, Tan HS, Sultana R, Sng BL. Association of pain catastrophizing and depressive states with multidimensional early labor pain assessment in nulliparous women having epidural analgesia - a secondary analysis. J Pain Res. 2021;14:3099-107.
51 Duncan LG, Cohn MA, Chao MT, Cook JG, Riccobono J, Bardacke N. Benefits of preparing for childbirth with mindfulness training: a randomized controlled trial with active comparison. BMC Pregnancy Childbirth. 2017;17(1): 140.
52 AlSomali Z, Bajamal E, Esheaba O. The effect of structured antenatal education on childbirth self-efficacy. Cureus. 2023;15(5):e39285.
Submitted date:
10/14/2023
Accepted date:
06/21/2024
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