Lubián-López Daniel María, Moya-Bejarano Davinia, Butrón-Hinojo Carmen Aisha, Marín-Sánchez Pilar, Blasco-Alonso Marta, Jiménez-López Jesús Salvador, Villegas-Muñoz Emilia, González-Mesa Ernesto
Department of Obstetrics and Gynecology, University Hospital of Jerez de la Frontera, 11407 Cádiz, Spain.
Department of Obstetrics and Gynecology, School of Medicine, University of Cádiz, 11003 Cádiz, Spain.
J Clin Med. 2021 Dec 17;10(24):5942. doi: 10.3390/jcm10245942.
Endometriosis is a multifactorial disease with pathophysiological factors not yet well known; it also presents a wide symptomatic range that makes us think about the need for multidisciplinary management. It is a chronic disease in which there is no definitive treatment, and is associated in a large majority of cases with psychological pathology. Connecting comorbidities and multimorbidities on a neurobiological, neuropsychological, and pathophysiological level could significantly contribute to their more successful prevention and treatment. In our study, resilience is analyzed as an adjunctive measure in the management of endometriosis. : A multi-centre, cross-sectional study was performed to analyse resilience levels in a sample of Spanish women suffering from endometriosis. CDRIS-25, CDRIS-10, BDI, the STAI, and the SF-36 Health Questionnaire were used for assessments. A representative group of 202 women with endometriosis was recruited by consecutive sampling. Exploratory and confirmatory factor analyses were performed for both resilience scales. Mean CDRIS-25 and CDRIS-10 scores were 69.58 (SD 15.1) and 29.37 (SD 7.2), respectively. Women with adenomyosis and without signs of deep endometriosis showed the lowest scores. The best predictive model included women's age, years of endometriosis evolution, number of pregnancies, and history of fertility problems as the best predictive factors. : Women build resilience as the number of years of evolution of the disease increases. Symptoms such as dyspareunia and continued abdominal pain were more prevalent among less resilient women.
子宫内膜异位症是一种多因素疾病，其病理生理因素尚未完全明确；它还表现出广泛的症状范围，这使我们认识到需要多学科管理。这是一种尚无根治方法的慢性疾病，在大多数情况下与心理病理学相关。在神经生物学、神经心理学和病理生理学层面将合并症和多重合并症联系起来，可能会显著有助于其预防和治疗取得更成功的效果。在我们的研究中，复原力被作为子宫内膜异位症管理中的一项辅助措施进行分析。：开展了一项多中心横断面研究，以分析患有子宫内膜异位症的西班牙女性样本的复原力水平。使用CDRIS-25、CDRIS-10、BDI、STAI和SF-36健康问卷进行评估。通过连续抽样招募了一个由202名患有子宫内膜异位症的女性组成的代表性群体。对两个复原力量表都进行了探索性和验证性因素分析。CDRIS-25和CDRIS-10的平均得分分别为69.58（标准差15.1）和29.37（标准差7.2）。患有子宫腺肌病且无深部子宫内膜异位症迹象的女性得分最低。最佳预测模型包括女性的年龄、子宫内膜异位症病程、妊娠次数和生育问题史作为最佳预测因素。：随着疾病病程年数的增加，女性会建立起复原力。性交困难和持续性腹痛等症状在复原力较低的女性中更为普遍。
