当前位置： SCI文献检索 > INTERNATIONAL JOURNAL OF CLINICAL PRACTICE期刊下所有文献 > High levels of anxiety and depression have a negative effect on quality of life of women with chronic pelvic pain.

High levels of anxiety and depression have a negative effect on quality of life of women with chronic pelvic pain.

Abstract：

BACKGROUND:Chronic pelvic pain (CPP) is a common and complex disease whose cause is often clinically inexplicable, with consequent difficulty in diagnosis and treatment. Patients with CPP have high levels of anxiety and depression, with a consequent impairment of their quality of life. AIMS:The objective of this study was to determine the prevalence of anxiety and depression and their impact on the quality of life of women with CPP. MATERIALS AND METHODS:A cross-sectional controlled study was conducted on 52 patients with CPP and 54 women without pain. Depression and anxiety were evaluated by the Hospital Anxiety and Depression Scale, and quality of life was evaluated by the World Health Organization Quality of life Whoqol-bref questionnaire. Data were analysed statistically by the Mann-Whitney U-test, the Fisher exact test, chi-square test and Spearman correlation test. RESULTS:The prevalence of anxiety was 73% and 37% in the CPP and control groups, respectively, and the prevalence of depression was 40% and 30% respectively. Significant differences between groups were observed in the physical, psychological and social domains. Patients with higher anxiety and depression scores present lower quality of life scores. DISCUSSION:The fact that DPC is a syndromic complex, many patients enter a chronic cycle of search for improvement of medical symptoms. The constant presence of pain may be responsible for affective changes in dynamics, family, social and sexual. Initially the person is facing the loss of a healthy body and active, to a state of dependence and limitations. In this study, patients with higher scores of anxiety and depression scores had lower quality of life and patients with lower scores of anxiety and depression had scores of quality of life. These results show that perhaps the depression and anxiety may be related to the negative impact on quality of life of these patients. CONCLUSION:In view of this association, we emphasise the importance of a specific approach to the treatment of anxiety and depression together with clinical treatment to improve the quality of life of these patients.

journal_name

Int J Clin Pract

journal_title

International journal of clinical practice

authors

Romão AP,Gorayeb R,Romão GS,Poli-Neto OB,dos Reis FJ,Rosa-e-Silva JC,Nogueira AA

doi

10.1111/j.1742-1241.2009.02034.x

subject

Has Abstract

pub_date

2009-05-01 00:00:00

pages

707-11

issue

eissn

1368-5031

issn

1742-1241

pii

IJCP2034

journal_volume

pub_type

杂志文章

在线工具

High levels of anxiety and depression have a negative effect on quality of life of women with chronic pelvic pain.