Cross-Sectional Survey of the Impact of Endometriosis Symptoms on Health-Related Quality of Life in Canadian Women

Soliman, Ahmed M.; Singh, Sukhbir S.; Rahal, Yasmine; Robert, Catherine; Defoy, Isabelle; Nisbet, Paul; Leyland, Nicholas

doi:10.1016/j.jogc.2020.04.013

Cited by 12 publications

(12 citation statements)

References 21 publications

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“…High PHQ-4 scores were strongly linked to declines in a variety of functional impairments, such as mental health, social functioning, general health perceptions, role, and physical functioning, bodily pain, mean disability days, and increased healthcare utilization [24]. Our results support the findings of recent studies that women with endometriosis have a higher depressive symptom burden than women without chronic pain [4,10,40], possibly due to the chronic and diverse physical symptoms, paired with the perceived disability and life disadvantages that the affected women face.…”

Section: Discussionsupporting

confidence: 88%

“…Women with endometriosis reported more symptoms and were more likely to suffer from depression, anxiety, and emotional distress [4,5,7]. These alterations in mental health were associated with the presence of pain, rather than the diagnosis of endometriosis [10][11][12]. Women with endometriosis were found to have a higher level of depression [4].…”

Section: Introductionmentioning

confidence: 99%

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Predictors of Psychological Distress in Women with Endometriosis during the COVID-19 Pandemic

Schwab

Stewen

Ost

et al. 2022

IJERPH

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Background: Endometriosis is a multifaceted chronic pain condition that can have a negative impact on mental health. Patients suffering from chronic pain may face an additional psychological burden during adversity, such as the COVID-19 pandemic. The main aim of this research was to evaluate the prevalence of self-reported depression and anxiety, the influence of demographic, endometriosis-specific, pandemic-specific factors, and resilience on mental health outcomes of patients with endometriosis. Methods: An online survey was conducted through patient support groups of women suffering from endometriosis during the first wave of the COVID-19 pandemic. The PHQ-4 questionnaire, which combines two items of the Patient Health Questionnaire for Depression (PHQ-2) and two items from the Generalized Anxiety Disorder Scale (GAD-2) was used to assess self-reported mental health. The Brief Resilience Score (BRS) was employed to evaluate resilience. Independent risk and protective factors for mental health were investigated by multivariate logistic regression analyses. Results: The PHQ-4 questionnaire was completed by 274 respondents. More than 40% reached depression (PHQ-2) and anxiety (GAD-2) scores of ≥3, and more than 20% achieved PHQ-2 and GAD-2 scores of ≥5. High resilience was found to be a reliable and strong independent protector for the probability of developing adverse psychological outcomes: OR 0.295, p < 0.001 for developing generalized anxiety disorder (GAD-2 ≥ 3), and OR 0.467, p < 0.001 for having major depression (PHQ-2 ≥ 3). Conclusions: Pain-induced disability is an independent risk factor for developing major depression and anxiety, while resilience was identified as a potential protective parameter in terms of positive psychological outcomes in women with endometriosis. The results of this study may help to identify women at risk for adverse mental health outcomes and should encourage healthcare practitioners to establish strategies for the reduction of negative psychological and psychiatric impacts on patients with endometriosis.

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Section: Discussionsupporting

confidence: 88%

Section: Introductionmentioning

confidence: 99%

Predictors of Psychological Distress in Women with Endometriosis during the COVID-19 Pandemic

Schwab

Stewen

Ost

et al. 2022

IJERPH

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“…Many validated questionaries, such as the WHOQOL-BREF quality of life questionnaire [37] and the WERFEPHect Clinical Questionnaire, have been used to asses HRQoL [38]. There is a specific Endometriosis Health Profile-30 (EHP-30) questionnaire [39] that was recently validated in Spanish [40]. Only a few observational studies have explored HRQoL in endometriosis using the SF-36 or SF-12 questionnaires [12,41,42].…”

Section: Discussionmentioning

confidence: 99%

Health-Related Quality of Life in Adult Spanish Women with Endometriomas or Deep Infiltrating Endometriosis: A Case-Control Study

Adoamnei

Morán-Sánchez

Sánchez-Ferrer

et al. 2021

IJERPH

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Endometriosis is a disabling disease that may significantly compromise a woman’s social relationships, sexuality, and mental health. Considering the impact of endometriomas and deep infiltrating endometriosis (DIE) on quality of life and the limited number of papers on this topic, the objective of this study was to assess health-related quality of life (HRQoL) in adult Spanish women with the condition. A case-control study was conducted on a group of 99 patients with ovarian endometriomas or DIE and 157 controls. Women underwent physical and gynecological examinations, and they completed health questionnaires including the Short Form-12v2 (SF-12v2), a survey for HRQoL. Eight scales and two component summary scores (Physical (PCS) and Mental (MCS), respectively) were calculated. Women with endometriomas or DIE had significantly worse PCS: 47.7 ± 9.7 vs. 56.1 ± 5.9, respectively (p < 0.001) compared to controls, as well as lower scores on seven out of the eight scales (p < 0.01). No significant differences were found for the MCS. Conclusions: HRQoL was significantly lower in patients with endometriomas or DIE compared to controls. If confirmed, these results may have important implications for prevention, clinical practice, and intervention.

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“…12–16 Moreover, Symptoms related to fibroids and endometriosis can have a significant impact on the quality of life of the women affected. 17–20…”

Section: Introductionmentioning

confidence: 99%

“…[12][13][14][15][16] Moreover, Symptoms related to fibroids and endometriosis can have a significant impact on the quality of life of the women affected. [17][18][19][20] Consequently, the objective of our own cross-sectional study was to answer two main questions: What kinds of subjective theories of illness do patients with fibroids and patients with endometriosis have? And which sociodemographic factors influence these theories?…”

Section: Introductionmentioning

confidence: 99%

Subjective theories of illness in fibroid and endometriosis patients: Similarities, differences, and influencing factors

Münch

Ebert²,

Mechsner

et al. 2022

Journal of Endometriosis and Pelvic Pain Disorders

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Introduction: The aim of this study was to compare the subjective theories of illness in patients with fibroids and patients with endometriosis, and to identify potential factors influencing them. Methodology: Participating patients were recruited via three specialized centers for fibroids and endometriosis. To assess their subjective theories concerning the cause of their illness, we used a questionnaire based on the revised Illness Perceptions Questionnaire (IPQ-R). We also gathered and evaluated data relating to sociodemographic factors and psychological distress or possible anxieties using the Kessler Psychological Distress Scale (K10) and the Generalised Anxiety Disorder Assessment (GAD-7). Results: We were able to analyze data from 201 patients with fibroids and 212 patients with endometriosis. About 94.4% of the patients had one or more subjective theories concerning the cause of their illness. Both groups perceived “stress or worry” to be the most probable cause of their illness. Compared to endometriosis patients, patients with fibroids were more likely to assume “aging” and “heredity” as the cause of their illness. Endometriosis patients, on the other hand, were more likely to choose theories pertaining to the “environmental influences and immune system” category. The patients’ age, formal education, and conspicuous score values in the K10 or GAD-7 questionnaire proved to be important factors influencing their beliefs about the cause of illness. Conclusion: Patients perceive stress and psychological strain as possible causes for their illness. It might be beneficial to take this information into account in conversations between doctors and patients and when drawing up psychosomatic-gynecological treatment plans.

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Cross-Sectional Survey of the Impact of Endometriosis Symptoms on Health-Related Quality of Life in Canadian Women

Cited by 12 publications

References 21 publications

Predictors of Psychological Distress in Women with Endometriosis during the COVID-19 Pandemic

Predictors of Psychological Distress in Women with Endometriosis during the COVID-19 Pandemic

Health-Related Quality of Life in Adult Spanish Women with Endometriomas or Deep Infiltrating Endometriosis: A Case-Control Study

Subjective theories of illness in fibroid and endometriosis patients: Similarities, differences, and influencing factors

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