Predictors of acute and chronic pain and depressive symptoms after delivery with a special focus on maternal attachment

Status

Active, not recruiting

Phases

Unknown

Study type

Observational

Source

DRKS

Registry ID

DRKS00010433

Enrollment

210

Registered

2016-05-20

Start date

2015-12-10

Completion date

Unknown

Last updated

2025-04-07

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

postpartum acute and chronic pain postpartum depressive symptoms

Interventions

Group 1: There are four measurement occasions via different questionnaires: First measurement (third trimester of pregnancy) includes a self-designed questionnaire to measure potential predictors and

Eligibility

Sex/Gender

Female

Age

18 Years to No maximum

Inclusion criteria

Inclusion criteria: German-speaking, planed delivery in the Department of Gynecology and Obstetrics of the University Hospital of Wuerzburg

Exclusion criteria

Exclusion criteria: patient < 18 years old; patients who are not German-speaking

Design outcomes

Primary

Measure	Time frame
Primary hypotheses: 1. Problematic maternal attachment (high scores of anxiety and attachment-related avoidance, low scores of confidence in relationships - measured via Adult Attachment Scale (AAS) and Experiences in Close Relationships-Revisted (ECR-RD) in the third trimester of pregnancy) are correlated with an increased risk of acute and chronic pain (measured via a self-designed questionnaire one day as well as three und six months postpartum). 2. Problematic maternal attachment (high scores of anxiety and attachment-related avoidance, low scores of confidence in relationships - measured via Adult Attachment Scale (AAS) and Experiences in Close Relationships-Revisted (ECR-RD) in the third trimester of pregnancy) are correlated with an increased risk of depressive symptoms (measured via Edinburgh-Postnatal-Depression-Scale (EDPS) one day as well as three und six months postpartum).	—

Measure

Time frame

Primary hypotheses: 1. Problematic maternal attachment (high scores of anxiety and attachment-related avoidance, low scores of confidence in relationships - measured via Adult Attachment Scale (AAS) and Experiences in Close Relationships-Revisted (ECR-RD) in the third trimester of pregnancy) are correlated with an increased risk of acute and chronic pain (measured via a self-designed questionnaire one day as well as three und six months postpartum). 2. Problematic maternal attachment (high scores of anxiety and attachment-related avoidance, low scores of confidence in relationships - measured via Adult Attachment Scale (AAS) and Experiences in Close Relationships-Revisted (ECR-RD) in the third trimester of pregnancy) are correlated with an increased risk of depressive symptoms (measured via Edinburgh-Postnatal-Depression-Scale (EDPS) one day as well as three und six months postpartum).

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Secondary

Measure	Time frame
Secondary hypotheses: 1. The relationship between problematic maternal attachment (high scores of anxiety and attachment-related avoidance, low scores of confidence in relationships - measured via Adult Attachment Scale (AAS) and Experiences in Close Relationships-Revisted (ECR-RD) in the third trimester of pregnancy) and an increased risk of acute and chronic pain (measured via a self-designed questionnaire one day as well as three und six months postpartum) is mediated by an increased anxiety sensitivity (measured via Anxiety Sensitivity Index (ASI-3) in the third trimester of pregnancy) and pain catastrophizing (dimension: helplessness, measured via Pain Catastrophizing Scale (PCS) one day postpartum). 2. The relationship between problematic maternal attachment (high scores of anxiety and attachment-related avoidance, low scores of confidence in relationships - measured via Adult Attachment Scale (AAS) and Experiences in Close Relationships-Revisted (ECR-RD) in the third trimester of pregnancy) and an increased risk of depressive symptoms (measured via Edinburgh-Postnatal-Depression-Scale (EDPS) one day as well as three und six months postpartum) is mediated by an increased anxiety sensitivity (measured via Anxiety Sensitivity Index (ASI-3) in the third trimester of the pregnancy) and pain catastrophizing (dimension: rumination, measured via Pain Catastrophizing Scale (PCS) one day postpartum).	—

Measure

Time frame

Secondary hypotheses: 1. The relationship between problematic maternal attachment (high scores of anxiety and attachment-related avoidance, low scores of confidence in relationships - measured via Adult Attachment Scale (AAS) and Experiences in Close Relationships-Revisted (ECR-RD) in the third trimester of pregnancy) and an increased risk of acute and chronic pain (measured via a self-designed questionnaire one day as well as three und six months postpartum) is mediated by an increased anxiety sensitivity (measured via Anxiety Sensitivity Index (ASI-3) in the third trimester of pregnancy) and pain catastrophizing (dimension: helplessness, measured via Pain Catastrophizing Scale (PCS) one day postpartum). 2. The relationship between problematic maternal attachment (high scores of anxiety and attachment-related avoidance, low scores of confidence in relationships - measured via Adult Attachment Scale (AAS) and Experiences in Close Relationships-Revisted (ECR-RD) in the third trimester of pregnancy) and an increased risk of depressive symptoms (measured via Edinburgh-Postnatal-Depression-Scale (EDPS) one day as well as three und six months postpartum) is mediated by an increased anxiety sensitivity (measured via Anxiety Sensitivity Index (ASI-3) in the third trimester of the pregnancy) and pain catastrophizing (dimension: rumination, measured via Pain Catastrophizing Scale (PCS) one day postpartum).

—

Countries

Germany

Contacts

Public ContactKathrin Schnabel

Abteilung für Medizinische Psychologie & Psychotherapie, Medizinische Soziologie & Rehabilitationswissenschaften

kathrin.schnabel@uni-wuerzburg.de09313181055

Outcome results

None listed

Source: DRKS (via WHO ICTRP) · Data processed: Feb 4, 2026