Intermenstrual pelvic pain, quality of life and mood
| Autor: | Marianna Cannoletta, Anjeza Xholli, Angelo Cagnacci, Annibale Volpe, Serena Ferrari, Giovanni Grandi |
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| Jazyk: | angličtina |
| Rok vydání: | 2013 |
| Předmět: |
Adult
medicine.medical_specialty Adolescent Cross-sectional study Chronic pelvic pain dysmenorrhea dyspareunia MEDLINE Pelvic Pain Young Adult Quality of life (healthcare) Surveys and Questionnaires medicine Humans Young adult Menstruation Disturbances Depression (differential diagnoses) Depressive symptoms Pain Measurement Depression business.industry Pelvic pain Obstetrics and Gynecology Middle Aged Cross-Sectional Studies Mood Reproductive Medicine Quality of Life Physical therapy Female medicine.symptom business |
| Popis: | Background/Aims: To investigate the independent importance of different types of pelvic pain on quality of life and depressive symptoms. Methods: A cross-sectional study was performed on patients with pelvic pain. A 10-cm visual-analogue scale (VAS) was used to investigate intensity of intermenstrual pelvic pain, dysmenorrhea or deep dyspareunia. The SF-36 form and the Zung Self-Rating Scale for Depression (SDS) were used to investigate quality of life and depressive symptoms, respectively. Results: The final study group consisted of 248 patients, 175/248 (70.6%) with intermenstrual pelvic pain, 46/248 (18.5%) with dysmenorrhea and 27/248 (10.9%) with deep dyspareunia associated or not with dysmenorrhea. Mean VAS score for dysmenorrhea was higher than that for deep dyspareunia (p < 0.003) and intermenstrual pelvic pain (p < 0.0001). Women with intermenstrual pelvic pain had the worst SF-36 (p < 0.0001) and SDS (p < 0.002) scores. SF-36 was independently and inversely related to intermenstrual pelvic pain (CR -1.522; 95% CI -2.188 to -0.856; p < 0.0001), and less strongly to dysmenorrhea (CR -0.729; 95% CI -1.487 to 0.030; p = 0.06). Indeed, only the physical component summary of SF-36 was independently related to dysmenorrhea (CR -0.956; 95% CI -1.783 to -0.129; p = 0.024). The SDS score was independently related only to intermenstrual pelvic pain (CR 0.573; 95% CI 0.241-0.904; p = 0.0008). Conclusions: Patients with intermenstrual pelvic pain have the worst SF-36 and SDS scores. Intermenstrual pelvic pain seems to be more strongly associated with a reduced quality of life and depressive mood. |
| Databáze: | OpenAIRE |
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