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根据疼痛强度评估子宫内膜异位症女性的生活质量和心理影响。

Assessment of quality of life and psychological repercussions in women with endometriosis according to pain intensity.

作者信息

de Barros Meneguetti Melissa, Silva Fabia Pigatti, Dias Gabriele Natália, Benetti-Pinto Cristina Laguna, Angerame Yela Daniela

机构信息

School of Medical Sciences, University of Campinas (UNICAMP), Campinas (SP), Brazil.

Medical Sciences, University of Campinas (Unicamp), Campinas (SP), Brazil.

出版信息

Psychol Health Med. 2023 Mar;28(3):660-669. doi: 10.1080/13548506.2022.2121972. Epub 2022 Sep 7.

DOI:10.1080/13548506.2022.2121972
PMID:36072985
Abstract

The objective is to evaluate quality of life, anxiety, and depression in women with endometriosis, and to correlate these parameters with pain intensity. This multicenter cross-sectional study was conducted on 102 women with endometriosis from 2017 to 2020. The women were divided into two groups according to the pain intensity: group 1 (severe pain, 62 women) and group 2 (mild/moderate pain, 40 women). The Endometriosis Health Profile Questionnaire, Beck Anxiety Inventory, and Beck Depression Inventory were used to assess quality of life and levels of anxiety and depression, respectively. In both groups, mean age and mean body mass index were similar (p˃ 0.5). Most women had deep endometriosis and were on treatment, but group 2 had a longer treatment time (p = 0.044). Group 1 exhibited more depression and anxiety than group 2 (17.1 ± 9.98 vs. 11.15 ± 9.25, p = 0.003 and 23.71 ± 12.92 vs 12.58 ± 10.53, p = 0.001, respectively). Women with high pain had a significantly worse quality of life than those with low pain (48.88 ± 16.02 vs. 23.32 ± 15.93, p < 0.001). Women with endometriosis and high pain intensity have a worse quality of life, and more severe levels of anxiety and depression.

摘要

目的是评估子宫内膜异位症女性的生活质量、焦虑和抑郁情况,并将这些参数与疼痛强度相关联。这项多中心横断面研究于2017年至2020年对102名子宫内膜异位症女性进行。根据疼痛强度将这些女性分为两组:第1组(重度疼痛,62名女性)和第2组(轻度/中度疼痛,40名女性)。分别使用子宫内膜异位症健康状况问卷、贝克焦虑量表和贝克抑郁量表来评估生活质量以及焦虑和抑郁水平。两组的平均年龄和平均体重指数相似(p>0.5)。大多数女性患有深部子宫内膜异位症且正在接受治疗,但第2组的治疗时间更长(p = 0.044)。第1组比第2组表现出更多的抑郁和焦虑(分别为17.1±9.98对11.15±9.25,p = 0.003;23.71±12.92对12.58±10.53,p = 0.001)。疼痛程度高的女性生活质量明显比疼痛程度低的女性差(48.88±16.02对23.32±15.93,p<0.001)。患有子宫内膜异位症且疼痛强度高的女性生活质量更差,焦虑和抑郁水平更严重。

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