Mental health, pain symptoms and systemic comorbidities in women with endometriosis: a cross-sectional study

Introduction: Endometriosis is a gynecological disease with a severe impact on quality of life. The aim of this study is to assess mental health status in a group of women with endometriosis, investigating their clinical history, pain symptoms and systemic comorbidities. Methods: An observational cr...

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Main Authors: Silvia Vannuccini, Lucia Lazzeri, Cinzia Orlandini, Giuseppe Morgante, Giuseppe Bifulco, Andrea Fagiolini, Felice Petraglia
Format: Article
Language:English
Published: Taylor & Francis Group 2018-10-01
Series:Journal of Psychosomatic Obstetrics and Gynecology
Subjects:
Online Access:http://dx.doi.org/10.1080/0167482X.2017.1386171
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author Silvia Vannuccini
Lucia Lazzeri
Cinzia Orlandini
Giuseppe Morgante
Giuseppe Bifulco
Andrea Fagiolini
Felice Petraglia
author_facet Silvia Vannuccini
Lucia Lazzeri
Cinzia Orlandini
Giuseppe Morgante
Giuseppe Bifulco
Andrea Fagiolini
Felice Petraglia
author_sort Silvia Vannuccini
collection DOAJ
description Introduction: Endometriosis is a gynecological disease with a severe impact on quality of life. The aim of this study is to assess mental health status in a group of women with endometriosis, investigating their clinical history, pain symptoms and systemic comorbidities. Methods: An observational cross-sectional study was performed on a group of Italian Caucasian women with endometriosis (n = 134). All patients filled the ‘Patient Health Questionnaire’ (PHQ), a self-administered screening tool for mental health disorders. The characteristics of endometriosis, pain symptoms and their severity, the presence and types of comorbid systemic disorders were added into the same survey. Results: According to PHQ algorithms, 59% of patients were affected by at least one psychiatric disorder, with a significant correlation with pain symptoms (p = 0.0026). Patients with severe pain showed a higher incidence of multiple psychiatric disorders (p = 0.026) and somatoform disorder than those with mild pain (p = 0.0009). There was no correlation between the presence of psychiatric disorders and age, BMI, parity, infertility, need for surgery, number of intervention, localization of endometriotic lesions and systemic comorbidities. Discussion: Women with endometriosis showed a high frequency of PHQ results positive for psychiatric disorders, with a significant association with pain severity.
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spelling doaj.art-c95ca2baa03144948513a56c804ea9452023-09-14T12:43:59ZengTaylor & Francis GroupJournal of Psychosomatic Obstetrics and Gynecology0167-482X1743-89422018-10-0139431532010.1080/0167482X.2017.13861711386171Mental health, pain symptoms and systemic comorbidities in women with endometriosis: a cross-sectional studySilvia Vannuccini0Lucia Lazzeri1Cinzia Orlandini2Giuseppe Morgante3Giuseppe Bifulco4Andrea Fagiolini5Felice Petraglia6University of Siena, “S. Maria alle Scotte”University of Siena, “S. Maria alle Scotte”University of Siena, “S. Maria alle Scotte”University of Siena, “S. Maria alle Scotte”University of Naples ‘Federico II’University of Siena, “S. Maria alle Scotte”University of Florence, Careggi University Hospital, Largo BrambillaIntroduction: Endometriosis is a gynecological disease with a severe impact on quality of life. The aim of this study is to assess mental health status in a group of women with endometriosis, investigating their clinical history, pain symptoms and systemic comorbidities. Methods: An observational cross-sectional study was performed on a group of Italian Caucasian women with endometriosis (n = 134). All patients filled the ‘Patient Health Questionnaire’ (PHQ), a self-administered screening tool for mental health disorders. The characteristics of endometriosis, pain symptoms and their severity, the presence and types of comorbid systemic disorders were added into the same survey. Results: According to PHQ algorithms, 59% of patients were affected by at least one psychiatric disorder, with a significant correlation with pain symptoms (p = 0.0026). Patients with severe pain showed a higher incidence of multiple psychiatric disorders (p = 0.026) and somatoform disorder than those with mild pain (p = 0.0009). There was no correlation between the presence of psychiatric disorders and age, BMI, parity, infertility, need for surgery, number of intervention, localization of endometriotic lesions and systemic comorbidities. Discussion: Women with endometriosis showed a high frequency of PHQ results positive for psychiatric disorders, with a significant association with pain severity.http://dx.doi.org/10.1080/0167482X.2017.1386171endometriosismental healthpsychiatric disorderssomatoform disorderpelvic pain
spellingShingle Silvia Vannuccini
Lucia Lazzeri
Cinzia Orlandini
Giuseppe Morgante
Giuseppe Bifulco
Andrea Fagiolini
Felice Petraglia
Mental health, pain symptoms and systemic comorbidities in women with endometriosis: a cross-sectional study
Journal of Psychosomatic Obstetrics and Gynecology
endometriosis
mental health
psychiatric disorders
somatoform disorder
pelvic pain
title Mental health, pain symptoms and systemic comorbidities in women with endometriosis: a cross-sectional study
title_full Mental health, pain symptoms and systemic comorbidities in women with endometriosis: a cross-sectional study
title_fullStr Mental health, pain symptoms and systemic comorbidities in women with endometriosis: a cross-sectional study
title_full_unstemmed Mental health, pain symptoms and systemic comorbidities in women with endometriosis: a cross-sectional study
title_short Mental health, pain symptoms and systemic comorbidities in women with endometriosis: a cross-sectional study
title_sort mental health pain symptoms and systemic comorbidities in women with endometriosis a cross sectional study
topic endometriosis
mental health
psychiatric disorders
somatoform disorder
pelvic pain
url http://dx.doi.org/10.1080/0167482X.2017.1386171
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