Quality of life and associated factors in Brazilian women with chronic pelvic pain
Received 18 March 2018
Accepted for publication 15 May 2018
Published 25 July 2018 Volume 2018:11 Pages 1367—1374
Checked for plagiarism Yes
Review by Single-blind
Peer reviewers approved by Dr Colin Mak
Peer reviewer comments 2
Editor who approved publication: Dr E Alfonso Romero-Sandoval
Rosa Azevedo Da Luz,1 José Miguel de Deus,1,2 Délio Marques Conde2
1Teaching Hospital, Federal University of Goiás, Goiânia, Goiás, Brazil; 2Department of Obstetrics and Gynecology, Federal University of Goiás, Goiânia, Goiás, Brazil
Background: Chronic pelvic pain (CPP) is a common and debilitating clinical condition in women.
Objectives: The 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 methods: A 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.
Results: Mean 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.
Conclusion: Women 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.
Keywords: depression, anxiety, pain intensity, quality of life, hypertension, sexual dysfunction
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