Psychosomatic status of women of reproductive age with adenomyosis.

Autor:	Azizova, М. E.
Předmět:	CHILDBEARING age PERIMENOPAUSE DIFFERENTIAL diagnosis QUESTIONNAIRES DESCRIPTIVE statistics ENDOMETRIOSIS LONGITUDINAL method PSYCHOSOMATIC disorders PATHOLOGICAL laboratories MENSTRUAL cycle PSYCHOLOGICAL stress QUALITY of life WOMEN'S health MENSTRUATION disorders ANXIETY disorders CONFIDENCE intervals SLEEP disorders DISEASE risk factors DISEASE complications SYMPTOMS
Zdroj:	Reproductive Health of Woman; 2024, Vol. 72 Issue 3, p1-6, 6p
Abstrakt:	The objective: to study the impact of adenomyosis on the psychosomatic status of women of reproductive age. Materials and methods. A complex clinical-laboratory and instrumental prospective examination for women with adenomyosis was conducted in 224 patients aged 30 to 50 years (average age – 42.0±1.8 years). These patients were included in the main group of the study. The patients of the main group were divided into two subgroups depending on the form of adenomyosis: Group I – diffuse form – 106 women, Group II – nodular form – 118 women. The control group included 84 healthy women of reproductive age with a regular ovulatory menstrual cycle and no history of gynecological diseases. To assess the psychosomatic status of patients with adenomyosis we used the Aleksandrowicz method: a questionnaire of neurotic disorders – symptomatic (QND- S). Results. The conducted studies established that the largest number of patients were 36–40 years old – 92 (41.1±3.3%) women in the main group, and 37 (44.0±5.4%) women in the control group. A total of 152 (67.9±3.1%) patients of the main group were of reproductive age, 72 (32.1±3.1%) patients were of perimenopausal age. In patients with adenomyosis disorder of the menstrual cycle in the form of hyperpolymenorrhea was found in almost every third patient, and algomenorrhea – in almost every second person. The diagnosis was established for the first time in 8.49±2.7% of patients in Group I (9 women) and 3.38±1.8% in Group II (4 women). Less than 5 years of the disease was observed in 34.91±4.6% of patients of the Group I (37 women) and in 51.69±4.6% of the Group II (61 women). From 5 to 10 years, the disease was observed in 56.60±4.8% of patients of the Group I (60 women) and in 44.93±4.6% of the Group II (53 women). Affective stress (up to 15.50%), sleep disorders (up to 20.22%), anxiety-phobic disorders (up to 11.18%) were determined most often. Conclusions. In the vast majority of patients of reproductive age who have adenomyosis with pain syndrome, the personal characteristics are dominated by symptoms such as anxiety-phobic and depressive disorders, affective tension, sexual, obsessive and anankastic disorders. [ABSTRACT FROM AUTHOR]
Databáze:	Complementary Index
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