Psychological distress and pelvic floor dysfunction in postpartum women: Associations with anxiety, perceived stress, and sexual health

Table 5 Multivariable logistic regression analysis of anxiety, high perceived stress, and sexual dysfunction in postpartum women

Outcome	Independent variable	OR (95%CI)	P value
Anxiety (HADS-A ≥ 8)	PFDI-20 (per 10-point increase)	1.29 (1.10-1.52)	0.002b
	PSQI > 7	2.46 (1.12-5.38)	0.025a
	SSRS (per 5-point increase)	0.72 (0.56-0.92)	0.009b
	Lateral episiotomy/≥ degree II laceration	1.98 (0.93-4.22)	0.078
High perceived stress (PSS-10 ≥ 20)	PFDI-20 (per 10-point increase)	1.35 (1.15-1.59)	< 0.001b
	PSQI > 7	2.13 (1.02-4.46)	0.045a
	SSRS (per 5-point increase)	0.69 (0.54-0.88)	0.003b
	Postpartum months (per 1-month increase)	0.91 (0.83-0.99)	0.031a
Sexual dysfunction (FSFI < 26.55)	PFDI-20 (per 10-point increase)	1.31 (1.12-1.54)	0.001b
	Breastfeeding	1.87 (0.92-3.79)	0.083
	PSQI > 7	2.67 (1.26-5.64)	0.010b
	SSRS (per 5-point increase)	0.74 (0.58-0.95)	0.018a

^aP < 0.05 vs the non-pelvic floor dysfunction group.

^bP < 0.01 vs the non-pelvic floor dysfunction group.

OR: Odds ratio; HADS-A: Hospital Anxiety and Depression Scale-Anxiety subscale; PFDI-20: Pelvic Floor Distress Inventory-20; PSQI: Pittsburgh Sleep Quality Index; SSRS: Social Support Rating Scale; PSS-10: 10-item Perceived Stress Scale; FSFI: Female Sexual Function Index.