Wu Chun-Mei, Li Cai-Hua, Fang You-Yan, Wu Huan, Ji Dong-Mei, Zhou Ping, Cao Yun-Xia, He Ye, Wei Zhao-Lian
Department of Obstetrics and Gynecology, the First Affiliated Hospital of Anhui Medical University, Hefei 230000, Anhui Province, China.
Department of Obstetrics and Gynecology, Huaibei People's Hospital of Anhui Province, Huaibei 235000, Anhui Province, China.
World J Psychiatry. 2024 Sep 19;14(9):1364-1374. doi: 10.5498/wjp.v14.i9.1364.
The occurrence of postoperative depression and anxiety in patients with endometriosis (EMS) not only causes psychological distress, but may also harm their physical health.
To explore the postoperative depression status, and its influencing factors, of EMS patients with reproductive intention.
A total of 321 EMS patients with reproductive intent were included. Using the self-rating anxiety scale and self-rating depression scale, EMS patients with anxiety or depression were distinguished. A clinical model for predicting anxiety or depression in EMS patients was constructed and evaluated using a nomogram, receiver operating characteristic curve, and calibration curve.
The results of the single factor analysis showed that smoking, coffee, EMS stage, chronic pelvic pain, and sexual discomfort may be related to anxiety. Further, smoking, drinking, spouse, annual household income and EMS stage may be related to depression in EMS patients. Multivariate logistic regression illustrated that smoking, coffee, chronic pelvic pain and sexual discomfort may be independent risk factors for anxiety in EMS patients, while smoking, EMS stage (Phase III and Phase IV), spouse and high annual household income may be independent risk factors for depression in EMS patients. Additionally, the models used to predict the risk of anxiety or depression in EMS patients have good predictive value.
The anxiety and depression of EMS patients may be related to many factors. In clinical treatment, additional attention should be paid to the psychological status of EMS patients.
子宫内膜异位症（EMS）患者术后出现抑郁和焦虑不仅会导致心理困扰，还可能损害其身体健康。
探讨有生育意愿的EMS患者术后抑郁状况及其影响因素。
纳入321例有生育意愿的EMS患者。使用自评焦虑量表和自评抑郁量表区分有焦虑或抑郁的EMS患者。构建预测EMS患者焦虑或抑郁的临床模型，并使用列线图、受试者工作特征曲线和校准曲线进行评估。
单因素分析结果显示，吸烟、喝咖啡、EMS分期、慢性盆腔疼痛和性交不适可能与焦虑有关。此外，吸烟、饮酒、配偶、家庭年收入和EMS分期可能与EMS患者的抑郁有关。多因素logistic回归表明，吸烟、喝咖啡、慢性盆腔疼痛和性交不适可能是EMS患者焦虑的独立危险因素，而吸烟、EMS分期（III期和IV期）、配偶和家庭年收入高可能是EMS患者抑郁的独立危险因素。此外，用于预测EMS患者焦虑或抑郁风险的模型具有良好的预测价值。
EMS患者的焦虑和抑郁可能与多种因素有关。在临床治疗中，应额外关注EMS患者的心理状态。
