Qualidade de vida de mulheres com dor pélvica crônica: um estudo de corte transversal analítico

Priscilla Rodrigues Barcelos, Délio Marques Conde, José Miguel de Deus, Edson Zangiacomí Martínez
In: Revista Brasileira de Ginecologia e Obstetrícia · 2010 · vol. 32(5) , pp. 247–53 · doi:10.1590/s0100-72032010000500008 · PMID:21085755 · W1538270318
article OA: diamond CC0 ⤵ 7 in-corpus citations
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⚙ AI-generated summary by claude@2026-06, 2026-06-09 ⓘ

Women with chronic pelvic pain report lower quality of life, particularly in pain and social domains, with depression negatively impacting emotional aspects and mental health.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-09 ⓘ

The study compared quality of life (QoL) between 30 women with chronic pelvic pain (CPP) and 20 without CPP, and assessed factors associated with QoL in women with CPP using sociodemographic and clinical measures. QoL was measured with the SF-36 across eight domains (summarized into physical and mental component summaries), and pain intensity was evaluated with a visual analogue scale; linear regression was used for group comparisons and association analyses. Women with CPP reported lower monthly family income and higher prevalence of dysmenorrhea and depression, and in adjusted analyses had lower QoL scores in the pain and social aspects domains; depression was negatively associated with emotional aspects and the mental component summary, while pain intensity was negatively associated with the pain domain. A key limitation is the cross-sectional design, which precludes determining causal direction between depression, pain intensity, and QoL. Relevance to endometriosis: the paper focuses on chronic pelvic pain as an overall condition and does not explicitly discuss endometriosis or adenomyosis.

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Abstract

PURPOSE: To compare the quality of life (QL) of women with and without chronic pelvic pain (CPP) and to investigate the factors associated with QL in women with CPP. METHODS: A cross-sectional study was conducted on 30 women with CPP and 20 women without CPP. Sociodemographic and clinical characteristics were evaluated. QL was investigated by applying the SF-36 questionnaire, which contains eight domains: functional capacity, physical aspects, pain, general health status, vitality, social aspects, emotional aspects, and mental health. These domains can be summarized into two groups: physical component summary (PCS) and mental component summary (MCS). Pain intensity was investigated by applying the visual analogue scale. Linear regression analysis was used to compare QL scores between women with and without CPP and to identify factors associated with the QL of women with CPP. RESULTS: The mean age of women with and without CPP was 35.2 ± 7.5 and 36 ± 9.3 years (p=0.77), respectively. Women with CPP had a lower monthly family income (p=0.04) and a higher prevalence of dysmenorrhea (87 versus 40%; p<0.01) and depression (30 versus 5%; p=0.04) compared to women without CPP. Adjusted analysis for potential confounding variables revealed that women with CPP had lower QL scores in the pain (p<0.01) and social aspects (p<0.01) domains. Depression was negatively associated with the emotional aspects domain (p=0.05) and with the MCS (p=0.03), while pain intensity was negatively related to the pain domain (p<0.01) of the QL of women with CPP. CONCLUSIONS: Women with CPP presented a worse QL compared to women without CPP. Depression and pain intensity were negatively related to the QL of women with CPP. Thus, the evaluation and treatment of pain and depressive symptoms must be among the priorities that aim to improve the QL of women with CPP.

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Condition tags

chronic_pelvic_paindysmenorrhea

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