目的:子宫内膜异位症是一种慢性和进行性妇科疾病,在法国影响10个育龄妇女中的1至2个。这项研究的目的是了解决定患者生活质量的因素谁经历显著的疼痛症状(75%),根据病变的程度和深度来区分。第二个目标是评估这种疼痛的心理影响。因此,我们将评估解释生活质量所涉及的各种心理过程。
方法:总共,1039名年龄在18-55岁之间的女性填写了一份自编问卷,评估不同类型的疼痛和强度,身体图像(BIS),自尊(罗森伯格),焦虑抑郁症状(HAD),和生活质量(SF-36)。还评估了患者的社会传记和医学特征。
结果:方差分析显示,慢性疼痛患者的自尊和身体形象较低,更多的焦虑抑郁症状,与周期性疼痛和没有疼痛的女性相比,生活质量较差。回归分析表明,根据所经历的疼痛类型,身体和精神生活质量的决定因素显着不同。
结论:与子宫内膜异位症相关的疼痛的后果揭示了可以从新的角度考虑的多个问题。虽然心理障碍可能是对疼痛现象的反应,但它们也可能有助于它们的增加。这就是提供全面护理的挑战所在。
OBJECTIVE: Endometriosis is a chronic and progressive gynecological disease that affects 1 to 2 out of 10 women of childbearing age in France. The objective of this research was to understand the factors determining the quality of life of the patients who experience significant pain symptoms (75%), distinguished by the extent and depth of the lesions. The second objective was to evaluate the psychological repercussions of this pain. We will therefore assess the various psychological processes involved in explaining quality of life.
METHODS: In total, 1039 women aged 18-55 years completed a self-administered questionnaire, assessing different types of pain and intensity, body image (BIS), self-esteem (Rosenberg), anxiety-depressive symptomatology (HAD), and quality of life (SF-36). Socio-biographical and medical characteristics of the patients were also assessed.
RESULTS: Analyses of variance showed that patients with chronic pain had lower self-esteem and body image, more anxiety-depressive symptoms, and a poorer quality of life than women with cyclic pain and those without pain. Regression analyses showed that the determinants of physical and mental quality of life differed significantly according to the type of pain experienced.
CONCLUSIONS: The consequences of the pain associated with endometriosis reveal multiple problems that can be considered from a new perspective. Although psychological disorders can be a response to pain phenomena they can also contribute to their increase. This is where the challenge lies in providing comprehensive care.