Attachment Predicts Post Cesarean Pain

NCT04863651 | Unknown DMC

• 1 other identifier: WREM114262
• Study Type: observational
• Target: 65
• Locations: 1 country
• Sites: 1

Brief Summary

The Adult Attachment Style (AAS) is a questionnaire designed to measure how an adult generally feels in their close personal relationships. The questionnaire has two main axes of measurements - avoidance and anxiety, that gives rise to four different categories of attachment styles. Women's attachment styles have been shown to be correlated to pain during labour, but not after. No study has analyzed whether attachment styles are correlated to the pain after cesarean section. This study will assess correlation between the AAS score, and pain after elective cesarean section. Additionally, this study aims to clarify the correlation between attachment scale and overall quality of recovery after cesarean section as defined by a recently validated tool, the ObsQoR10.

Conditions

Cesarean Section Complications; Attachment Disorder; Post Operative Recovery

Keywords

Cesarean; Cesarean Section; Attachment Style; Revised Adult Attachment Style; Post Cesarean Pain; Post Cesarean Recovery

Outcome Measures

Primary Outcomes (1)

• Pain Score

  Pain score from 0-10, measured at 24 hours post-operative

  24 hours

Secondary Outcomes (6)

• ObsQoR10 Score

  24 hours

• Total Opioid Consumption first 24h

  24 hours

• First Occurrence of Nausea

  24 hours

• First Occurrence of Vomiting

  24 hours

• First Occurrence of Pruritis

  24 hours

Study Arms (2)

Securely Attached Parturients

Parturients who have a secure attachment style according to the Revised Adult Attachment Scale (Collins, 1996)

Insecurely Attached Parturients

Parturients who have an insecure attachment style according to the Revised Adult Attachment Scale (Collins, 1996)

Eligibility Criteria

• Age: 18 Years+
• Sex: female
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

65 English speaking parturients undergoing elective cesarean section at Victoria Hospital's Obstetrical Care Unit will be approached prior to their scheduled operation.

You may qualify if:

• i. English Speaking ii. Elective Cesarean Sections iii. ASA 3 or lower iv. Singleton Pregnancy v. Between 37-40 weeks gestation

You may not qualify if:

• i. Patient Refusal ii. History of chronic pain condition, currently on medication iii. Diagnosed General Anxiety Disorder iv. Diagnosed substance use disorder

Sponsors & Collaborators

• Western University, Canada: lead

Study Sites (1)

Victoria Hospital

London, Ontario, N6A 5W9, Canada

RECRUITING

Related Publications (6)

• Ciechanowicz S, Setty T, Robson E, Sathasivam C, Chazapis M, Dick J, Carvalho B, Sultan P. Development and evaluation of an obstetric quality-of-recovery score (ObsQoR-11) after elective Caesarean delivery. Br J Anaesth. 2019 Jan;122(1):69-78. doi: 10.1016/j.bja.2018.06.011. Epub 2018 Jul 31.

  PMID: 30579408 BACKGROUND

• Lee SS, Rim HD, Won SH, Woo J. Avoidant Insecure Attachment as a Predictive Factor for Psychological Distress in Patients with Early Breast Cancer: A Preliminary 1-Year Follow-Up Study. Psychiatry Investig. 2018 Aug;15(8):805-810. doi: 10.30773/pi.2018.06.07. Epub 2018 Aug 9.

  PMID: 30086610 BACKGROUND

• Penacoba C, Perez-Calvo S, Blanco S, Sanroman L. Attachment styles, pain intensity and emotional variables in women with fibromyalgia. Scand J Caring Sci. 2018 Jun;32(2):535-544. doi: 10.1111/scs.12477. Epub 2017 Sep 8.

  PMID: 28885733 BACKGROUND

• Andrews NE, Meredith PJ, Strong J, Donohue GF. Adult attachment and approaches to activity engagement in chronic pain. Pain Res Manag. 2014 Nov-Dec;19(6):317-27. doi: 10.1155/2014/838954. Epub 2014 Oct 22.

  PMID: 25337857 BACKGROUND

• Costa Martins JM, da Silva CF, Pereira M, Martins H, Oliveira C, Puga A, Coelho R, Tavares J. Women's attachment as a predictor of pain during labour and post-delivery: a prospective observational study. Acta Med Port. 2014 Nov-Dec;27(6):692-9. doi: 10.20344/amp.4960. Epub 2014 Dec 30.

  PMID: 25641282 BACKGROUND

• Suso-Ribera C, Sullivan MJL, Suso-Vergara S. Pain Intensity Is Not Always Associated with Poorer Health Status: Exploring the Moderating Role of Spouse Personality. Pain Res Manag. 2018 Sep 26;2018:7927656. doi: 10.1155/2018/7927656. eCollection 2018.

  PMID: 30356426 BACKGROUND

Study Officials

• Ilana Sebbag, MD

  Western University

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Ilana Sebbag, MD

CONTACT

519 685 8500; Ilana.Sebbag@lhsc.on.ca

Indu Singh, MD

CONTACT

519 646 6000; Indu.Singh@lhsc.on.ca

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: April 26, 2021
• First Posted: April 28, 2021
• Study Start: January 13, 2020
• Primary Completion: May 1, 2021
• Study Completion: September 1, 2021
• Last Updated: April 28, 2021

Record last verified: 2021-04

Data Sharing

• IPD Sharing: Will not share

Locations

CA (1)