Quality of life associated to chronic pelvic pain is independent of endometriosis diagnosis-a cross-sectional survey (original) (raw)
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Chronic pelvic pain and quality of life in women with and without endometriosis
Journal of Endometriosis
To determine the impact of chronic pelvic pain on quality of life in women with or without endometriosis Methods: A total of 162 women with chronic pelvic pain were enrolled in a cross-sectional study and divided into two groups: 84 with endome triosis, 78 without endometriosis. Assessment of dysmenorrhea, non-menstrual pain, dyspareunia and diffuse abdominal pain by a visual analog scale, assessment of quality of life by SF-36. Results: The endometriosis group showed more dysmenorrhea but less dyspareunia and nonmenstrual pain than women affected by other diseases. Pain had a negative influence on quality of life in both groups, but the endometriosis group showed a greater negative impact in all areas of SF-36, yet only in three (physical role, physical pain and mental role) was the difference statistically significant. Conclusions: Endometriosis impacts quality of life more than other forms of chronic pelvic pain. Interventions aimed at improving quality of life specifically designed for patients with chronic pelvic pain in general, and with endometriosis in particular, should be developed, tested, and integrated into the routine care regimen provided for these patients.
Obstetrics & Gynecology Science
Objective Endometriosis, a common hormone-dependent chronic inflammatory disease causes various symptoms including pelvic pain, which affect the physical and psychological quality of life in women of reproductive age. The present study aimed to assess the quality of life of Iranian women with endometriosis using the World Health Organization Quality of Life Instrument, Short Form (WHOQOL-BREF) questionnaire. Methods This cross-sectional study performed in Tehran between October 2014 and July 2016 included 70 Iranian women with endometriosis. The Iranian version of the WHOQOL-BREF questionnaire was used to measure quality of life in these women. The Pearson's correlation coefficient, the paired and the independent t-tests, and a linear regression model were used to statistically analyze the data using the SPSS software version 16.0. Results The total mean score of the WHOQOL-BREF questionnaire was 80.58. The highest and the lowest mean scores were observed in the environmental (28.15) and the physical health domains (10.59), respectively. A multiple linear regression model (backward method) showed that insurance coverage was associated with the total WHOQOL-BREF score, whereas age, insurance coverage, and income level were associated with domains 1 through 4, respectively (P<0.05). Conclusion Endometriosis affects various aspects of the quality of life of Iranian women who therefore require holistic management focused on both, the physical and psychological aspects of treatment.
The Journal of Sexual Medicine, 2011
Introduction. Chronic pelvic pain (CPP) is one of the most frequent symptoms in women of reproductive age. This is an enigmatic clinical condition that results from the complex interactions of physiological and psychological factors with direct impact on the social, marital, and professional lives of women. Aim. To evaluate the quality of life and sexual satisfaction of women who suffer from CPP with or without endometriosis. Method. Forty-nine patients who had been diagnosed with endometriosis and 35 patients with CPP diagnosed with another gynecological condition, all 84 of whom were treated at the Chronic Pelvic Pain and Endometriosis Clinic at Universidade Federal de São Paulo (UNIFESP) from January to July of 2008. The controls were 50 healthy women from the Family Planning Clinic at UNIFESP. Main Outcome Measures. World Health Organization Quality of Life Assessment-Bref (WHOQOL-BREF) quality of life questionnaire and the Golombok-Rust Inventory of Sexual Satisfaction (GRISS). Results. No statistically significant differences were observed between the groups with CPP symptoms, in either the results from the WHOQOL-BREF or in the GRISS questionnaire. In both questionnaires, differences were observed when the two groups of symptomatic women were compared with the group of healthy women. Conclusion. CPP caused by endometriosis or other gynecological conditions leads to a significant reduction of quality of life and sexual satisfaction. Tripoli TM, Sato H, Sartori MG, de Araujo FF, Girão MJBC, and Schor E. Evaluation of quality of life and sexual satisfaction in women suffering from chronic pelvic pain with or without endometriosis.
The State of Health and the Quality of Life in Women Suffering from Endometriosis
Journal of Clinical Medicine, 2022
Quality of life is related to good health, family relations, feeling of self-esteem, and ability to cope with difficult situations. Endometriosis is a chronic condition which affects different areas of life. The lack of satisfaction in everyday life is mainly due to constant pain. The process of adjusting to a life with illness is associated with negative emotions. The aim of the article is to review the current state of knowledge concerning the impact of social and medical factors on a population of women affected by endometriosis. Women with endometriosis have an impaired quality of life compared to the general female population. Psychological consequences of endometriosis include: depression, anxiety, powerlessness, guilt, self-directed violence, and deterioration of interpersonal relations. It may contribute to lower productivity at work and less satisfying intimate life. A multi-disciplinary, evidence-based care is needed. The disease can take away the ability to be physically ...
Psychological Approach to Endometriosis: Women’s Pain Experience and Quality of Life Improvement
Psicologia, Saúde & Doenças, 2012
Endometriosis is a chronic condition affecting 10 to15% of women in childbearing age. Understanding the impact of this disease on women's well-being is still a challenge, namely to intervene. Pain is the most current and troublesome symptom. Although medical treatments for pain relief are effective, recurrence rate remains significant, calling for a better understanding and development of new approaches for pain management. A group Cognitive Behavioral Therapy (CBT) for management of associated co-morbidities is suggested, paying special attention to Chronic Pelvic Pain (CPP). CBT design can be grounded on information collected from focus groups and a one-group exploratory trial. Evaluation of therapy effectiveness is possible to be performed by comparing group CBT to Usual Care (UC) and Support Group (SG) in a randomized controlled trial. Research in this area could represent an important step in providing a solution to the management of endometriosis and, to the best of our knowledge, the first national psychological approach for its understanding and treatment. Keywords-endometriosis, women's experience, chronic pelvic pain, cognitive behavioral therapy ABORDAGEM PSICOLÓGICA NA ENDOMETRIOSE: EXPERIÊNCIA DE DOR E MELHORA NA QUALIDADE DE VIDA DAS MULHERES RESUMO: A endometriose é uma doença crónica que afecta 10 a 15% das mulheres em idade reprodutiva. O entendimento do impacto da doença no bem-estar estar das mulheres continua a ser um desafio, nomeadamente para a intervenção. A dor é o sintoma mais frequente e preocupante. Apesar dos tratamentos para alívio da dor serem eficazes, a taxa de recorrência é significativa, apelando à necessidade de melhor conhecer a doença e desenvolver novas abordagens para gestão da dor que lhe está associada. Sugere-se uma terapia Cognitivo Comportamental (CBT) de grupo para gestão das comorbilidades associadas, com especial foco na Dor Pélvica Crónica (CPP). O design da CBT baseia-se em informação recolhida de focus groups e um ensaio exploratório de um grupo. A avaliação da CBT será realizada através de um ensaio clínico randomizado, comparando a terapia com o Tratamento Usual (UC) e Grupo de Apoio (SG). A investigação nesta área poderá representar um passo importante no desenvolvimento de uma solução para gestão da endometriose, e de acordo com o nosso entendimento, a primeira abordagem psicológica nacional para o seu estudo e tratamento. Palavras-chave-endometriose, experiência das mulheres, dor pélvica crónica, terapia cognitivo comportamental _________________________________________________________________ Recebido em 4 de Março de 2010/ Aceite em 12 de Fevereiro de 2011 Endometriosis is a progressive, chronic, gynecological condition in which endometrial tissue grows outside of the uterine cavity, resulting in inflammation. Endometrial tissue responds to hormonal alterations and bleeds during menstrual cycles (National Endometriosis Society (NES), 2007) leading to the development of cysts, fibroses and adhesions, that may
International Journal of Environmental Research and Public Health
Endometriosis is a chronic, inflammatory disease affecting more than 170 million women worldwide and up to 10% of women of reproductive age. As a consequence of inflammatory reaction and infiltration of anatomic structures, endometriosis can cause “pain symptoms” including dysmenorrhea, dyspareunia, dyschezia, dysuria, and chronic pelvic pain. In this review, we summarized the impact of endometriosis on quality of life in all its aspects including sexual life, work, and social relationships. The data research was conducted using web-based search engines and/or various electronic research databases querying for all articles related to endometriosis and quality of life from the inception of the database up to February 2020. Endometriosis has not only physical but also psychological effects, causing depression, anxiety, and compromising social relationships. Furthermore, endometriosis negatively impacts sexual life and social relationships. At last, the economic burden of endometriosis...
Journal of Psychosomatic Obstetrics & Gynecology, 2020
Purpose: Our main objective is to evaluate the psychometric properties of the Spanish version of the EHP-30 questionnaire. The secondary aim is to evaluate the differences in the scores of the core EHP-30 scales between patients with either surgical treatment or conservative management of endometriosis. Methods: Cross-sectional study conducted into a tertiary hospital endometriosis reference unit. All patients (n ¼ 223) pre-surgically completed the core EHP-30 questionnaire, the EQ-5D questionnaire (n ¼ 184) and a visual analogue scale (n ¼ 210) for endometriosis-related pain. Demographical and clinical data were recorded. Results: Psychometric characteristics of the Spanish core EHP-30 questionnaire were investigated. Statistical analyses confirmed the five-structure factor, a high degree of internal consistency and of item-total correlation for all the assessed items. Convergent validity between EQ-5D and EHP-30 items and between VAS and EHP-30 subscale pain was observed. Additionally, patients with surgical management rendered significantly higher scores in the core EHP-30 subscales "pain" and "control and powerlessness". Conclusions: We present the reliability, validity and acceptability of the Spanish core EHP-30 questionnaire, providing clinicians and researchers with an improved tool to assess the endometriosis-related quality of life. Additionally, we show that patients subsidiaries of surgical treatment for endometriosis present with higher pain and powerlessness than those with conservative management.
American Journal of Obstetrics and Gynecology, 1998
OBJECTIVE: This study was designed to evaluate the reliability, validity, and responsiveness of a newly developed, health-related quality-of-life measure. STUDY DESIGN: A total of 137 women (122 from a Phase III clinical trial and 15 from a private practice setting) with endometriosis completed the questionnaire several times. RESULTS: Reproducibility and internal-consistency reliability were acceptable with intraclass correlation coefficients ranging from 0.94 to 1.00 and Cronbach's α coefficients ranging from 0.84 to 0.97. Construct validity was demonstrated on the basis of correlations between items and scales. Health-related quality of life varied in a consistent manner according to clinician-rated measures of pelvic pain and dysmenorrhea and patient-reported levels of endometriosis pain, but no relationship emerged according to the revised American Fertility Society classification. In general, the questionnaire was moderately to highly responsive to change. CONCLUSION: This is the first comprehensive health-related quality-of-life questionnaire available for use with endometriosis patients that has demonstrated reliability, validity, and responsiveness.
Human Reproduction, 2021
STUDY QUESTION What is the relationship between specific quality of life domains and depression, anxiety and stress in the endometriosis population? SUMMARY ANSWER Psychosocial domains of quality of life, such as a perception of social support and self-image, are more strongly associated with depression, anxiety and stress than pain and medical factors. WHAT IS KNOWN ALREADY Prior research indicates a high prevalence of anxiety and depression in individuals with endometriosis. Pain is thought to be critical in the development of psychological distress, however prior research has investigated this association without consideration of psychosocial quality of life domains such as social functioning, perceived social support and self-image. STUDY DESIGN, SIZE, DURATION This study is a cross-sectional analysis of baseline data collected in a longitudinal study exploring psychological distress in endometriosis (n = 584). PARTICIPANTS/MATERIALS, SETTING, METHODS Individuals living with end...
Backround: Endometriosis is one of the most common gynaecological illnesses causing extensive psychological, physical and social impact on patient´s life and exerts negative effects on health-related quality of Life (HRQoL). However, the effects of surgery on the postoperative HRQoL in the different endometriosis subgroups have not been fully evaluated.Methods: We performed a comparative retrospective study between 2014 and 2018 at the Medical University of Vienna, including all patients with surgically confirmed endometriosis who had completed the standardized Endometriosis Health Profile - 30 (EHP-30) questionnaire one day after surgery (the questions refer to the four weeks preoperatively) and six to ten weeks postoperatively. Results: Compared to preoperative values, we found significant benefits, regarding postoperative conditions, in our study group (n=115) in all five categories, “pain” (HR 0.78, p<0.001); “self-determination” (HR 0,92, p<0.001); “emotional health” (HR ...