Low Back Pain and Depression: Cohort Study
16 maj 2014 uppdaterad av: Josue Fernandez Carnero, Universidad Rey Juan Carlos
Low Back Pain Disability, Intensity and Widespread Pain and Relationship to Postpartum Depression
The aims of this study are to investigate whether pelvic pain and low back pain disability are associated with postpartum depression and to compare the prevalence between women without Low back pain and disability and women with Low Back Pain (LBP) and disability every trimester, and correlate postpartum Depression and some clinical and biopsychosocial variables: subgroups of LBP, disability, pain intensity, pain widespread and nationality, in a cohort of Spanish women at 2 months postpartum.
Studieöversikt
Status
Avslutad
Betingelser
Detaljerad beskrivning
295 pregnant women will formed the cohort, during all pregnancy and two months after delivery.
The Edinburgh Postnatal Depression Scale was used to evaluate depressive symptoms at 2 months postpartum.
The LBP will be evaluated based on self-administrated questionnaire, and the patients with LBP will be classified in to lumbopelvic groups according to mechanical assessment of the lumbar spine, pelvic pain provocation tests, standard history, pain intensity on visual analogue scale, spread of pain through pain drawings and Oswestry index was used to evaluated the disability.
Logistics regression analysis will performed to explain the predictors of depression.
Studietyp
Observationell
Inskrivning (Faktisk)
236
Deltagandekriterier
Forskare letar efter personer som passar en viss beskrivning, så kallade behörighetskriterier. Några exempel på dessa kriterier är en persons allmänna hälsotillstånd eller tidigare behandlingar.
Urvalskriterier
Åldrar som är berättigade till studier
18 år till 45 år (Vuxen)
Tar emot friska volontärer
Ja
Kön som är behöriga för studier
Kvinna
Testmetod
Icke-sannolikhetsprov
Studera befolkning
The cohort comprised all pregnant women who were registered consecutively at this primary health care center
Beskrivning
Inclusion Criteria:
- Inclusion criteria were being pregnant between for 12 weeks to 16 weeks,
- With an expected normal pregnancy (as determined by midwife),
- Being able to understand and read Spanish.
Exclusion Criteria:
- Exclusion criteria were end of pregnancy before gestational weeks 37 (delivery or abortion),
- Serious intellectual impairment,
- Having had a systemic disease (spondylitis, infectious, vascular, metabolic or endocrine related process), rheumatic disease, fibromyalgia, lumbopelvic pain or
- Verified diagnosis of spinal problems in the previous 6 months, or
- A history of fracture, neoplasm or previous spinal, pelvic or femur surgery.
- Another exclusion criterion was a diagnosis of depression or anxiety in the previous year.
Studieplan
Det här avsnittet ger detaljer om studieplanen, inklusive hur studien är utformad och vad studien mäter.
Hur är studien utformad?
Designdetaljer
Vad mäter studien?
Primära resultatmått
Resultatmått |
Åtgärdsbeskrivning |
Tidsram |
|---|---|---|
|
Post-Partum Depression
Tidsram: change from baseline in postpartum depression at 2 months after delivery
|
Depressive Symptoms is assessed through the Edinburgh Postnatal Depression Scale (EPDS) (translation - Spanish).
It´s a 10-item self-report scale specifically designed to screen for postpartum depression.
The scale rates the intensity of depressive symptoms present within the previous 7 days.
A cutoff score of ≥10 in the tests is to be used for screening purposes in primary care.
When selecting this threshold the sensitivity for detection of major depression increased to almost 100% and the specificity to 82%.
The participants filled it in at the first visit and two months postpartum.
|
change from baseline in postpartum depression at 2 months after delivery
|
Sekundära resultatmått
Resultatmått |
Åtgärdsbeskrivning |
Tidsram |
|---|---|---|
|
Pain Scores in the visual analogue scale
Tidsram: Participants will be followed for the duration of pregnant up to 36 weeks
|
The Visual Analog Scale (VAS) is used to assess pain intensity (0-100 mm, where "0" corresponded to "no pain" and "10" to the worst imaginable pain).All participants were evaluated during all their pregnancy: in the first trimester (for 12 to 16 weeks), in the second trimester (for 22 weeks) and in the third trimester (for 36 weeks)
|
Participants will be followed for the duration of pregnant up to 36 weeks
|
|
Low back pain disability
Tidsram: Participants will be followed for the duration of pregnant up to 36 weeks
|
Disability is measured with the Oswestry Low Back Pain and Disability Questionnaire (ODQ) to compare the prevalence between women without LBP and disability and women with LBP pain and disability every trimester.
All participants were evaluated of low back disability during all their pregnancy: in the first trimester (for 12 to 16 weeks), in the second trimester (for 22 weeks) and in the third trimester (for 36 weeks).
|
Participants will be followed for the duration of pregnant up to 36 weeks
|
|
Pain drawing area
Tidsram: Participants will be followed for the duration of pregnant up to 36 weeks
|
Participants completed detailed pain drawings representing a human body (American Academy in Physical Medicine and Rehabilitation.
2001) to assess pain location (lumbar, pelvic and symphysis pubis).
To score the spread of pain, these human body views are uniformly divided into a total of 220 squares, each measuring 0.5 x 0.5 cm. .
|
Participants will be followed for the duration of pregnant up to 36 weeks
|
Samarbetspartners och utredare
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Sponsor
Studieavstämningsdatum
Dessa datum spårar framstegen för inlämningar av studieposter och sammanfattande resultat till ClinicalTrials.gov. Studieposter och rapporterade resultat granskas av National Library of Medicine (NLM) för att säkerställa att de uppfyller specifika kvalitetskontrollstandarder innan de publiceras på den offentliga webbplatsen.
Studera stora datum
Studiestart
1 oktober 2011
Primärt slutförande (Faktisk)
1 februari 2014
Avslutad studie (Faktisk)
1 maj 2014
Studieregistreringsdatum
Först inskickad
7 maj 2014
Först inskickad som uppfyllde QC-kriterierna
16 maj 2014
Första postat (Uppskatta)
20 maj 2014
Uppdateringar av studier
Senaste uppdatering publicerad (Uppskatta)
20 maj 2014
Senaste inskickade uppdateringen som uppfyllde QC-kriterierna
16 maj 2014
Senast verifierad
1 maj 2014
Mer information
Termer relaterade till denna studie
Ytterligare relevanta MeSH-villkor
Andra studie-ID-nummer
- 2011/28
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