Evaluation of quality of life and its correlation with sexual function, pain and depression in women with endometriosis: a case-control study

In: instacron:UFC · 2018 · W7120491804
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This case-control study found that women with endometriosis experience significantly worse quality of life, directly correlated with lower sexual function, higher depression scores, and increased pain.

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This hospital-based observational case-control study evaluated women with and without endometriosis recruited from a chronic pelvic pain/endometriosis clinic, using SF-36 to assess quality of life along with FSFI for sexual function, Beck Depression Inventory for depression, and the McGill pain questionnaire plus a service standardized form including a visual analogue scale. Women with endometriosis had statistically significant worse quality of life across all 8 SF-36 domains. The SF-36 quality-of-life scores correlated directly with lower sexual function scores, higher depression scores, and higher multidimensional pain measures. This paper is centrally about endometriosis — it assesses how endometriosis impacts quality of life and how that relates to sexual function, pain, and depression in affected women.

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Abstract

Introduction: Endometriosis is a chronic disease that affects women of reproductive age, whose classic presentations include chronic pelvic pain and infertility, which can significantly impair physical, mental and social well-being; causing psychological stress, low self-esteem and depression, which reduces the quality of life of these patients. Objective: To evaluate the effect of endometriosis on quality of life, correlating with sexual function and the occurrence of pain and depression symptoms in women affected by the disease. Methods: This is an observational, exploratory, hospital-based, case-control study involving women with and without endometriosis, developed at the Chronic Pelvic Pain (CPP) Clinic and Endometriosis at the Assis Chateaubriand Maternity School (ACMS). The data were collected using the Short Form Health Survey (SF-36), the Female Sexual Function Index (FSFI), the Beck inventory (BI) and pain questionnaire (McGill), as well as the standardized evaluation form of the CPP and endometriosis service, which includes the Visual Analogue Scale (VAS). Results: In the evaluation of the general quality of life using the SF-36, statistically significant differences were found in all 8 domains of the questionnaire, showing a worse quality of life in women with endometriosis. The worsening of the quality of life according to the SF-36 score presented a correlation directly proportional to lower scores of the sexual function questionnaire, higher scores of the depression questionnaire and the multidimensional pain scale. Conclusion: Women with endometriosis present a greater deterioration in QoL when compared to women without endometriosis. The impact of endometriosis on QoL is associated with increased sexual dysfunction, a greater degree of depression and a greater impact on some components related to pain. Key words: Endometriosis. Quality of life. Depression. Sexual function. Pain.
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Please use this identifier to cite or link to this item: http://repositorio.ufc.br/handle/riufc/31939 | Type: | Dissertação | | Title: | Avaliação da qualidade de vida e sua correlação com função sexual, dor e depressão em mulheres com endometriose: estudo caso-controle | | Title in English: | Evaluation of quality of life and its correlation with sexual function, pain and depression in women with endometriosis: a case-control study | | Authors: | Marinho, Manuela Cavalcante Portela | | Advisor: | Bezerra, Leonardo Robson Pinheiro Sobreira | | Co-advisor: | Augusto, Kathiane Lustosa | | Keywords: | Endometriose;Qualidade de Vida;Depressão;Comportamento Sexual;Dor | | Issue Date: | 15-Jan-2018 | | Citation: | MARINHO, M. C. P. Avaliação da qualidade de vida e sua correlação com função sexual, dor e depressão em mulheres com endometriose: estudo caso-controle. 2018. 64 f. Dissertação (mestrado em Ciências Médico-Cirúrgicas) - Faculdade de Medicina, Universidade Federal do Ceará, Fortaleza, 2018. | | Abstract in Brazilian Portuguese: | Introdução: A endometriose é uma doença crônica que afeta mulheres em idade reprodutiva, cujas apresentações clássicas incluem dor pélvica crônica e infertilidade, condições que podem prejudicar significativamente o bem-estar físico, mental e social; causando estresse psicológico, baixa autoestima e depressão, o que reduz a qualidade de vida dessas pacientes. Objetivo: Avaliar o efeito da endometriose sobre a qualidade de vida, correlacionando com a função sexual e a ocorrência de sintomas álgicos e de depressão em mulheres acometidas pela doença. Métodos: Trata-se de um estudo observacional, exploratório, de base hospitalar, do tipo caso-controle, envolvendo mulheres com e sem endometriose, desenvolvido no ambulatório de dor pélvica crônica (DPC) e endometriose da Maternidade Escola Assis Chateaubriand (MEAC). Foram utilizados como instrumentos de coleta de dados os questionários Short Form Health Survey (SF-36), Female Sexual Function Index (FSFI), inventário de depressão de Beck (IDB) e de dor (Mc Gill), além da ficha de avaliação padronizada do serviço de DPC e endometriose, que inclui a Escala visual analógica (EVA). Resultados: Na avaliação da qualidade de vida geral, utilizando o SF-36, foi encontrado diferenças estatisticamente significativas em todos os 8 domínios do questionário, mostrando uma pior qualidade de vida nas mulheres com endometriose. A piora da qualidade de vida de acordo com a pontuação do SF-36 apresentou uma correlação diretamente proporcional a menores pontuações dos questionários de função sexual, maiores pontuações do questionário de depressão e da escala multidimensional de dor. Conclusão: Mulheres com endometriose apresentam uma maior deterioração na QV quando comparadas às mulheres sem endometriose. O impacto da endometriose na QV está associado a uma maior disfunção sexual, maior grau de depressão e a um maior impacto em alguns componentes relacionados a dor. | | Abstract: | Introduction: Endometriosis is a chronic disease that affects women of reproductive age, whose classic presentations include chronic pelvic pain and infertility, which can significantly impair physical, mental and social well-being; causing psychological stress, low self-esteem and depression, which reduces the quality of life of these patients. Objective: To evaluate the effect of endometriosis on quality of life, correlating with sexual function and the occurrence of pain and depression symptoms in women affected by the disease. Methods: This is an observational, exploratory, hospital-based, case-control study involving women with and without endometriosis, developed at the Chronic Pelvic Pain (CPP) Clinic and Endometriosis at the Assis Chateaubriand Maternity School (ACMS). The data were collected using the Short Form Health Survey (SF-36), the Female Sexual Function Index (FSFI), the Beck inventory (BI) and pain questionnaire (McGill), as well as the standardized evaluation form of the CPP and endometriosis service, which includes the Visual Analogue Scale (VAS). Results: In the evaluation of the general quality of life using the SF-36, statistically significant differences were found in all 8 domains of the questionnaire, showing a worse quality of life in women with endometriosis. The worsening of the quality of life according to the SF-36 score presented a correlation directly proportional to lower scores of the sexual function questionnaire, higher scores of the depression questionnaire and the multidimensional pain scale. Conclusion: Women with endometriosis present a greater deterioration in QoL when compared to women without endometriosis. The impact of endometriosis on QoL is associated with increased sexual dysfunction, a greater degree of depression and a greater impact on some components related to pain. Key words: Endometriosis. Quality of life. Depression. Sexual function. Pain. | | URI: | http://www.repositorio.ufc.br/handle/riufc/31939 | | Appears in Collections: | DCIR - Dissertações defendidas na UFC | Files in This Item: | File | Description | Size | Format | | |---|---|---|---|---| | 2018_dis_mcpmarinho.pdf | 3,74 MB | Adobe PDF | View/Open | Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.

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Outcome instruments

VAS-pain

Condition tags

endometriosischronic_pelvic_paininfertility

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