Objectives: To investigate the prevalence of anxiety, depression and mixed anxiety and depressive disorder (MADD) and factors associated with these conditions in women with chronic pelvic pain (CPP) compared to a pain-free control group. Methods: A cross-sectional study was conducted with 100 women with CPP and 100 without CPP. The Hospital Anxiety and Depression Scale (HADS) was used to evaluate the presence of anxiety and depression. Sociodemographic, behavioral and clinical characteristics were investigated. Fisher’s exact test was used to compare characteristics between groups. A log-binomial regression model was used, with adjustment for age, skin color, schooling, body mass index and pain. Prevalence ratios (PR), together with their 95% confidence intervals (CI), were calculated to investigate factors associated with anxiety, depression and MADD. Results: The prevalence of anxiety was 66% in the CPP group and 49% in the controls ( p =0.02). Depression was identified in 63% of the women with CPP and in 38% of the controls ( p <0.01). MADD was present in 54% of the CPP group and in 28% of the controls ( p <0.01). In the adjusted analysis, CPP (PR=1.3; 95%CI: 1.1–1.6), physical abuse (PR=1.5; 95%CI: 1.2–1.8) and sexual abuse (PR=1.5; 95%CI: 1.1–1.8) were independently associated with anxiety. Women of 25 to 34 years of age were less likely to have anxiety (PR=0.6; 95%CI: 0.4–0.8). CPP (PR=1.6; 95%CI: 1.2–2.2), physical abuse (PR=1.3; 95%CI: 1.1–1.7) and sexual abuse (PR=1.7; 95%CI: 1.3–2.2) were independently associated with depression. CPP (PR=1.9; 95%CI: 1.3–2.7), smoking (PR=1.5; 95%CI: 1.1–2.1), physical abuse (PR=1.4; 95%CI: 1.1–1.9) and sexual abuse (PR=1.4; 95%CI: 1.1–1.8) were independently associated with MADD. Conclusions: The prevalence of anxiety, depression and MADD was higher in women with CPP compared to the pain-free controls. Factors associated with mental disorders were identified. The independent association between CPP and anxiety, depression and MADD was noteworthy. These findings suggest that systematic management of psychological factors could contribute towards improving the mental health of these women.

BackgroundChronic pelvic pain (CPP) is a common and debilitating clinical condition in women.ObjectivesThe aim of this study was to compare the quality of life (QoL) of women with and without CPP and to investigate factors associated with the QoL of women with CPP.Patients and methodsA cross-sectional study was conducted with 100 women with CPP and 100 women without CPP. QoL was evaluated using the abbreviated version of the World Health Organization QoL instrument (WHOQOL-BREF). Depression and anxiety were evaluated using the Hospital Anxiety and Depression Scale, and sexual function was evaluated using the Female Sexual Function Index. Generalized linear models were used to analyze the data, permitting comparison of QoL scores and identification of the factors affecting QoL.ResultsMean age (± SD) was 37.8±8.0 and 37.2±9.6 years for women with and without CPP, respectively (P=0.648). Following adjustment, women with CPP had significantly lower QoL scores in the physical health (P<0.001) and social relationships’ (P=0.025) domains. Anxiety, depression, sexual dysfunction, hypertension, diabetes mellitus, pain intensity, lower family income, and not having a partner were factors negatively associated with QoL, while being postmenopausal, being employed, and having a child were positively associated with QoL in women with CPP.ConclusionWomen with CPP had poorer QoL than those without CPP. Factors affecting the QoL of women with CPP were identified, some for the first time in this population of women. Interventions targeting these factors may prove effective in minimizing the negative repercussion of CPP on QoL.

PurposeThe aim of this study was to evaluate sexual function in women with chronic pelvic pain (CPP) compared to a control group without CPP and to investigate the factors associated with sexual dysfunction in women with CPP.MethodsThis cross-sectional study included 100 women with CPP and 100 controls. Sexual function was evaluated using the Female Sexual Function Index (FSFI) and depression and anxiety using the Hospital Anxiety and Depression Scale (HADS). A generalized linear model was used to compare the groups with respect to the overall FSFI score and the scores obtained for each FSFI domain. Multiple logistic regression analysis was used to identify the factors associated with sexual dysfunction in the study group.ResultsAnxiety was present in 66.0% of women with CPP in the study group compared to 49.0% of the controls (P=0.022). Depression was detected in 63.0% of women with CPP in the study group and in 38.0% of the controls (P=0.001). Sexual dysfunction was identified in 81.0% of the women with CPP in the study group compared to 58.0% of the controls (P=0.003). Following adjustment, the women with CPP had significantly lower mean scores compared to the controls in the FSFI domains of desire (3.0±1.3 vs 3.6±1.3; P=0.038), arousal (2.6±1.6 vs 3.4±1.9; P=0.002), lubrication (3.2±1.9 vs 3.7±2.3; P=0.011), orgasm (3.0±1.9 vs 3.6±2.2; P<0.002), and pain (2.5±1.7 vs 3.4±2.2; P<0.001). There was no difference between the groups for the satisfaction domain (P=0.337) or for the overall score (P=0.252). A positive and independent association was found between depression and sexual dysfunction in the women with CPP (P=0.012).ConclusionIn the women with CPP, sexual dysfunction was more common, and the scores in most of the sexual function domains were poorer than in the control group. Concurrently, depression was found to be positively associated with sexual dysfunction in the women with CPP.

Os objetivos deste estudo transversal foram comparar a qualidade de vida e as características socioeconômicas de mulheres com e sem dor pélvica e investigar achados clínicos e cirúrgicos de mulheres com dor pélvica crônica.  Os dados foram coletados em um hospital público, de Goiânia/GO, Brasil. A intensidade da dor foi aferida pela escala analógica visual e qualidade de vida avaliada pelo SF-36. A maioria das mulheres classificou a dor como intensa (52%) e conviviam com a dor há 8,8 (±7,7) anos. Mulheres do grupo com dor pélvica crônica apresentaram escores inferiores em todas as dimensões avaliadas pelo SF-36 (p< 0,05), exceto na dimensão saúde mental, quando comparado com o grupo sem dor. A correlação foi negativa (p=0,017) entre a intensidade da dor e a dimensão dor do SF-36. A dor pélvica apresentou impacto negativo significativo na qualidade de vida, com prejuízos para a saúde física e mental das mulheres.

Objective This study evaluated religiosity and its association with mental health, quality of life, and the intensity of pelvic pain in women with chronic pelvic pain. Methods A cross-sectional study was conducted with 100 women with chronic pelvic pain. Religiosity was investigated using the Duke University Religion Index. Quality of life was evaluated using the abbreviated version of the World Health Organization’s quality of life instrument. Depression and anxiety were assessed using the Hospital Anxiety and Depression Scale, while pain intensity was evaluated using a visual analog scale. Results Almost half the participants attended religious services at least once a week and 62% prayed, meditated, or studied the Bible at least once a day. There was no association between religiosity and anxiety or depression. The intrinsic religiosity score was lower for women with mixed anxiety-depressive disorder compared to those without mixed anxiety-depressive disorder. There was a positive association between intrinsic religiosity and the psychological health domain of the quality of life instrument. There was no association between religiosity and pain intensity. Conclusions Women with chronic pelvic pain were strongly religious. Women with mixed anxiety-depressive disorder had lower levels of intrinsic religiosity. On the other hand, intrinsic religiosity was positively associated with quality of life in women with chronic pelvic pain. Religiosity was not associated with the intensity of pelvic pain. These data suggest that health-care professionals should take religiosity into account when treating women with chronic pelvic pain.

Objectives: to analysis the nursing national scientific production on the generic gadget for quality of life evaluation, SF-36 (Medical Outcomes Study 36-Item Short-Form Health Survey), using indexed brazilian periodics in Health’s Virtual Bibliotheca (BVS), since 1999. Method: this is about a literature review study which national periodics were selected among that one’s in BVS (LILACS and BDENF) in data collection period, and manual search for that one’s that could not be founded full form. Research used descriptors “quality of life” and “Nursing”, founded in DECS (Health Science Descriptors). Results: BVS online article search found six studies that showed in their titles or abstracts the tag “quality of life” and were related to SF-36. Conclusions: Results guide professionals that care patients with different diseases, and have to be highlighted in meaning to benefit their quality of life. These studies quantity’s improve is needed, so is possible realize not only quality of life evaluation, but care quality. Descriptors: quality of life; nursing; life style.RESUMOObjetivo: analisar a produção científica nacional na área de Enfermagem acerca do instrumento genérico para avaliação de qualidade de vida SF-36 (Medical Outcomes Study 36-Item Short-Form Health Survey), em periódicos brasileiros indexados na Biblioteca Virtual de Saúde (BVS) a partir de 1999. Método: trata-se de uma revisão de literatura. Os periódicos nacionais foram selecionados dentre aqueles que estavam disponíveis na BVS (LILACS e BDENF) no período da coleta de dados, e aqueles estudos que não foram encontrados na íntegra, foi feita busca manual. A busca foi feita por meio da junção dos descritores “qualidade de vida” e “enfermagem”, que são disponíveis no DECS (Descritores em Ciências da Saúde). Resultados: a busca online de artigos na BVS resultou em seis estudos que apresentavam em seu título ou resumo o termo qualidade de vida e retratavam sobre o instrumento genérico SF-36. Conclusão: esses resultados servem como guia para os profissionais que lidam com pacientes de diferentes enfermidades, e devem ser observados atentamente, para que se intervenha de forma a melhorar a qualidade de vida daqueles sujeitos sob cuidados. Existe a necessidade de se aumentar o número de estudos relacionados à temática, para que dessa forma seja possível não somente avaliar a qualidade de vida em si, mas também a qualidade do tratamento oferecido. Descritores: qualidade de vida; enfermagem; estilo de vida.RESUMEN Objetives: analizar la producción científica en el área de enfermería acerca del instrumento genérico para evaluar la calidad de vida SF-36 (Medical Outcomes Study 36-Item Short-Form Health Survey) en periódicos indexados en la Biblioteca Virtual de Saúde (BVS) a partir de 1999. Método: se trata de una revisión de la literatura. Las revistas nacionales fueron seleccionadas entre las que estaban disponibles en la BVS (LILACS y BDENF) en el período de colecta de datos, y los estudios que no se encuentran en su totalidad, hace feíta la búsqueda manual. La búsqueda se realizó mediante el cruce de los descriptores "calidad de vida" y "enfermería", que están disponibles en el DECS (Descritores em Ciências da Saúde. Resultados: La búsqueda online de artículos en la BVS resultó en seis estudios, que apresentaban su título o resumen la palabra calidad de vida y retrataban sobre el  instrumento genérico SF-36. Conclusión: esos resultados sirven como guía para los profesionales que tratan con pacientes de diferentes enfermedades, y debe ser observado cuidadosamente, para intervenir con el fin de mejorar las condiciones de vida de los pacientes. Hay una necesidad de aumentar el número de estudios relacionados con el tema, de modo que sea posible no sólo evaluar la calidad de vida, pero también la calidad del tratamiento ofrecido. Descriptores: calidad de vida; enfermería; estilo de vida.

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