Self-reported elevated pain levels: A coping strategy used by women undergoing medical abortion procedures.

IF 2.1 4区心理学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY

Journal of Reproductive and Infant Psychology Pub Date : 2024-06-01 Epub Date: 2022-09-20 DOI:10.1080/02646838.2022.2125940

Martine Denise Freeman, Caryn Scheinberg Andrews, Uri Pinchas Dior, Sarit Shimony-Kanat, Yoram Bar-Tal, Assaf Ben-Meir

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引用次数: 0

Abstract

Purpose: Epidural analgesia alleviates pain during normal labour but women who undergo medical abortion procedures using epidural analgesia continue to express high pain levels. To understand this we assessed if patients undergoing medical abortions, treated with epidural analgesia, use their pain for psychological benefits.

Methods: This study comprised 105 patients over 13 weeks of gestational age diagnosed with foetal abnormalities after selecting a medical abortion procedure using epidural analgesia. Three questionnaires were handed-out: 1) 'Need for Affect', assessed the motivation to react to emotions; 2) 'Pain-Levels' 3) PANA- 'Positive Affect' (PA), 'Negative Affect' (NA) assessed emotions pre-abortion and post-abortion.

Results: Patients with a strong Need for Affect and high Pain-Levels expressed a stronger PA post-abortion (b = .69, se = .11, β = .68, p < .001, 95%CI [.48,.90]). Patients with a strong NA pre-abortion and high Pain-Levels expressed a higher NA post-abortion (b = .48, se = .11, β = .53, p < .001, 95%CI [.26, .70]).

Conclusion: Patients with a strong Need for Affect who express a strong PA pre-abortion intensify their pain to fulfill their Need for Affect, which then helps recovery. Patients with a strong NA pre-abortion and high Pain-Levels indicate a less favourable outcome.

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自我报告的疼痛程度升高：接受药物流产手术的妇女采用的一种应对策略。

目的：硬膜外镇痛可减轻正常分娩时的疼痛，但接受药物流产手术并使用硬膜外镇痛的妇女仍表示疼痛程度很高。为了了解这一情况，我们评估了接受药物流产并接受硬膜外镇痛治疗的患者是否会利用疼痛来获得心理益处：本研究包括 105 名孕龄超过 13 周、选择硬膜外镇痛药物流产术后被诊断为胎儿畸形的患者。发放了三份问卷：1）"需要情感"，评估对情感做出反应的动机；2）"疼痛程度"；3）PANA--"积极情感"（PA）和 "消极情感"（NA），评估流产前和流产后的情感：对情感有强烈需求的患者在流产前会表现出强烈的 PA，他们会加剧疼痛以满足对情感的需求，从而有助于恢复。流产前 NA 强烈且疼痛水平高的患者预示着较差的结果。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Reproductive and Infant Psychology PSYCHOLOGY, MULTIDISCIPLINARY-

CiteScore

6.80

自引率

8.00%

发文量

期刊介绍： The Journal of Reproductive and Infant Psychology reports and reviews outstanding research on psychological, behavioural, medical and social aspects of human reproduction, pregnancy and infancy. Medical topics focus on obstetrics and gynaecology, paediatrics and psychiatry. The growing work in relevant aspects of medical communication and medical sociology are also covered. Relevant psychological work includes developmental psychology, clinical psychology, social psychology, behavioural medicine, psychology of women and health psychology. Research into psychological aspects of midwifery, health visiting and nursing is central to the interests of the Journal. The Journal is of special value to those concerned with interdisciplinary issues. As a result, the Journal is of particular interest to those concerned with fundamental processes in behaviour and to issues of health promotion and service organization.