Contribution of Chronic Fatigue to Psychosocial Status and Quality of Life in Spanish Women Diagnosed with Endometriosis

Mundo-López, Antonio; Ocón‐Hernández, Olga; San-Sebastián, Ainhoa; Galiano‐Castillo, Noelia; Rodríguez-Pérez, Olga; Arroyo-Luque, María S; Arroyo-Morales, Manuel; Cantarero‐Villanueva, Irene; Fernández-Lao, Carolina; Artacho‐Cordón, Francisco

doi:10.3390/ijerph17113831

Cited by 18 publications

(17 citation statements)

References 77 publications

(102 reference statements)

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“…Res. Public Health 2021, 18, 8177 2 of 13 demonstrated [10,11]. The most common symptoms of the disease include dysmenorrhea (60-80%), chronic pelvic pain (30-50%), infertility (30-40%), and dyspareunia (25-40%) [12].…”

Section: Introductionmentioning

confidence: 99%

“…This applies especially to uncertainty regarding the pathogenesis, heterogeneity of the course of the disorder, or its symptoms, which are often confused with other mental or physical disorders. Due to the aforementioned factors, the diagnosis of endometriosis is often overlooked, which is a serious social problem [12,18,19]. Treatment based on pharmacological methods relieves the symptoms of the disease but may involve the occurrence of side effects and a recurrence of symptoms after discontinuation of use.…”

Section: Introductionmentioning

confidence: 99%

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Endometriosis—A Multifaceted Problem of a Modern Woman

Mińko

Turoń-Skrzypińska

Rył

et al. 2021

IJERPH

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Endometriosis is a chronic disease of unclear aetiology that affects millions of women around the world. It causes chronic pain, dysmenorrhea, and infertility, which significantly reduces the quality of daily life. The aim of the following study was a multivariate analysis of the functioning of women diagnosed with endometriosis, and the identification of the relationship between the level of physical activity and sexual functioning, ability to cope with stress, and the degree of anxiety and mood disorders. The prospective survey was conducted of 957 women. The research was carried out using standardised IPAQ, FSFI, HADS, and Mini-Cope questionnaires. The study showed that patients with endometriosis exhibit a higher level of depression and anxiety disorders (p = 0.01) and a lower level of sexual functions (p < 0.001). The influence of physical activity on the functioning of patients with endometriosis was demonstrated. Depending on the clinical stage of endometriosis, the influence of physical activity on individual aspects of life differed. Physical activity was shown, inter alia, to reduce anxiety (p = 0.015), and influence stress-coping strategies. Endometriosis affects the mental and physical health of women. Physical activity can reduce the severity of endometriosis symptoms and improve the daily functioning of patients.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Endometriosis—A Multifaceted Problem of a Modern Woman

Mińko

Turoń-Skrzypińska

Rył

et al. 2021

IJERPH

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show abstract

“…For the comparison of patient groups, different types of methods were used. Twenty-one studies inves-tigated anxiety and depression symptoms in endometriosis patients without including a control group [27,33,34,36,37,[39][40][41][42]45,47,49,50,52,58,59,63,65,66,69,70,72,73]. Twenty-six studies compared endometriosis patients with a group of either healthy controls [30,32,35,38,39,46,51,55], CPP patients without endometriosis [29,48,54,60,67], infertile patients without endometriosis [61,64] or a combination of control groups [28,43,44,53,56,57,62,68,71].…”

Section: Study Subjectsmentioning

confidence: 99%

“…Studies that investigated other factors than pain or infertility, reported that higher scores of depression or anxiety in endometriosis patients were correlated to poorer quality of sleep [27], fatigue [52], poorer quality of life [32,49,50,52], gastrointestinal symptoms [70], lower self-esteem [36], lower emotional self-efficacy [36], lower sexual functioning [32,51], dysfunction on social adjustment [54], pain imagery [42] and clinical signs of pain sensitization [68]. In addition, it was reported that patients who used positive coping strategies had less depression [33,34].…”

Section: Correlating Factors With Depression and Anxiety In Endometriosis Patientsmentioning

confidence: 99%

Depression, Anxiety and Endometriosis: A systematic review and meta-analysis.

Barneveld¹,

Manders²,

Osch³

et al. 2020

Preprint

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Background: The extent of endometriosis is not directly related to the degree of symptoms, and recurrence of symptoms occurs frequently. Given that, an association with psychological distress, as in depression and anxiety disorders, is suggested. Objective: To explore the strength of the associations between endometriosis and depression or anxiety and to review potential correlating factors. Search Strategy: A literature search was carried out using the electronic databases Embase, PubMed, Web-of-science and PsycINFO. Search terms related to depression, anxiety and endometriosis were combined resulting in 1,837 records. Selection criteria: Articles describing an association between endometriosis and depression or anxiety by using validated assessment tools, structured psychiatric interviews or a documented diagnosis were included. Data collection and Analysis: With 47 articles a systematic qualitative review was performed. Seventeen studies were eligible for meta-analysis. Main Results: In the meta-analysis, endometriosis patients experienced significantly more symptoms of depression (SMD of 0.71 (95%CI 0.36, 1.06) and anxiety (SMD 0.60 (95%CI 0.35, 0.84)) compared to healthy controls, but no differences were found comparing endometriosis patients with chronic pelvic pain patients without endometriosis. Besides the effect of pain, other correlating factors included age, quality of life, quality of sleep, fatigue, sexual function, gastrointestinal symptoms, comorbidity, selfesteem, emotional self-efficacy, coping style, social adjustment, pain imagery and pain sensitization. Conclusion: Endometriosis is associated with depression and anxiety. Therefore, an integrated patient-centred approach to medical, psychological and sexual issues is suggested as this may positively influence the perception of symptoms, treatment adherence, quality of life, prognosis and health care costs.

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“…Women are the main recipients of health programs on sexual and reproductive health. They may suffer from chronic diseases, such as endometriosis, which causes chronic fatigue, a worse quality of life, greater anxiety, and worse sleep, among other consequences, as Mundo-López et al [ 12 ] show. On the other hand, clinical and educational practices during pregnancy and childbirth influence the health status of women.…”

mentioning

confidence: 99%