The association of pain and psychological vulnerabilities with postpartum pain catastrophizing: a secondary analysis of a randomized controlled trial
Authors' conclusion
Predelivery pain and psychological vulnerabilities were associated with postpartum pain catastrophizing among healthy parturients undergoing labour.
Study context
- Population
- Pregnant individuals at term prior to labour and deliverycompleted postpartum survey
- Participants
- 820 individuals
- Primary endpoint
- High pain catastrophizing (PCS ≥ 25)
- Follow-up
- 6-10 weeks postpartum
Methodological detailsmultivariate logistic regression
- Multivariate logistic regression
Primary result
As reported in the abstract
High pain catastrophizing (PCS ≥ 25) and associated factors
Adjusted odds ratio (95% CI)
Greater enormity of labour pain
1.04(1.02–1.06)
Nonepidural analgesia vs Epidural analgesia
1.84(1.17–2.91)
Family history of other mental disorders
31.3(5.7–173.7)
Greater predelivery pain catastrophizing
2.70(1.68–4.36)
Greater predelivery activity avoidance
1.06(1.04–1.09)
Greater predelivery state anxiety
1.03(1.01–1.05)
Greater infant weightprotective
0.43(0.23–0.78)
- High pain catastrophizing
- 116 (14.4%)
- AUC of multivariable model
- 0.82 (95% CI, 0.78 to 0.86)
Original publication
The association of pain and psychological vulnerabilities with postpartum pain catastrophizing: a secondary analysis of a randomized controlled trial. Can J Anaesth. Published 20 March 2025. doi:10.
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