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高泌乳素血症女性的抑郁、焦虑、性功能及生活质量

Depression, anxiety, sexual function and quality of life in women with hyperprolactinemia.

作者信息

Nakamura Renan Massao, Yela Daniela Angerame, Santos Amanda Carvalho, Ribas Beatriz Cipriano, Silva Pedro Henrique Rosa E, Motta Bianca Netto, Rezende Gabriela Pravatta, Benetti-Pinto Cristina Laguna

机构信息

Universidade Estadual de Campinas CampinasSP Brazil Universidade Estadual de Campinas, Campinas, SP, Brazil.

出版信息

Rev Bras Ginecol Obstet. 2025 Apr 30;47. doi: 10.61622/rbgo/2025rbgo7. eCollection 2025.

Abstract

OBJECTIVE

To evaluate anxiety, depression, sexual function and quality of life in women with hyperprolactinemia.

METHODS

Cross-sectional study with 80 women divided into two groups: 30 women with hyperprolactinemia (Study Group) followed and treated at the endocrine gynecology outpatient clinic and 50 women without hyperprolactinemia, with regular menstrual cycles (Control Group) followed at the family planning outpatient clinic of the State University of Campinas from June 2021 to October 2022. Sociodemographic characteristics, quality of life (SF-36 Questionnaire), sexual function (Female Sexual Function Index Questionnaire), depression (Beck Depression Inventory) and anxiety (Beck Anxiety Scale) were evaluated in both groups. Categorical variables were described as absolute frequency and percentage; numerical variables as mean and standard deviation. Comparison of numerical variables between two groups was performed by Mann-Whitney test, while categorical were compared by Chi-Square or Fisher's exact tests.

RESULTS

The mean age of women with hyperprolactinemia was 39.6±8.1 years and the Control Group was 31.2±9.5 years (p<0.001). There was no difference in anxiety scores (p=0.66), depression (p=0.08) and general sexual function (p=0.08) in both groups. However, women with hyperprolactinemia had lower scores in the domains of pain and arousal and worse functional capacity than Control Group (p<0.05).

CONCLUSION

Women with hyperprolactinemia under treatment do not show any impairment in their anxiety, depression and sexual function when compared to women without hyperprolactinemia. However, analysis of quality of life showed that women with hyperprolactinemia have poor functional capacity.

摘要

目的

评估高泌乳素血症女性的焦虑、抑郁、性功能及生活质量。

方法

采用横断面研究,将80名女性分为两组:30名高泌乳素血症女性(研究组)在内分泌妇科门诊接受随访和治疗,50名无高泌乳素血症且月经周期规律的女性(对照组)于2021年6月至2022年10月在坎皮纳斯州立大学计划生育门诊接受随访。对两组患者的社会人口学特征、生活质量(SF-36问卷)、性功能(女性性功能指数问卷)、抑郁(贝克抑郁量表)和焦虑(贝克焦虑量表)进行评估。分类变量以绝对频数和百分比描述;数值变量以均值和标准差描述。两组数值变量的比较采用曼-惠特尼检验,分类变量采用卡方检验或费舍尔精确检验。

结果

高泌乳素血症女性的平均年龄为39.6±8.1岁;对照组为31.2±9.5岁(p<0.001)。两组在焦虑评分(p=0.66)、抑郁(p=0.08)和总体性功能(p=0.08)方面无差异。然而,高泌乳素血症女性在疼痛和性唤起方面的得分低于对照组,且功能能力较差(p<0.05)。

结论

与无高泌乳素血症的女性相比,接受治疗的高泌乳素血症女性在焦虑、抑郁和性功能方面未表现出任何损害。然而,生活质量分析显示,高泌乳素血症女性的功能能力较差。

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本文引用的文献

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Impact of hyperprolactinemia on sexual function.高催乳素血症对性功能的影响。
J Sex Med. 2024 Feb 27;21(3):197-199. doi: 10.1093/jsxmed/qdad177.
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Body self-image disturbances in women with prolactinoma.女性催乳素瘤患者的身体自我意象障碍。
Braz J Psychiatry. 2020 Jan-Feb;42(1):33-39. doi: 10.1590/1516-4446-2018-0325.
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Growth hormone, prolactin, and sexuality.生长激素、催乳素与性行为。
J Endocrinol Invest. 2012 Sep;35(8):782-794. doi: 10.1007/BF03345805. Epub 2014 Mar 22.

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