AI Article Synopsis
- The study explored how different types of pelvic pain affect women's quality of life and depressive symptoms using various assessment tools.
- The majority of the 248 patients reported intermenstrual pelvic pain, which was found to have the highest intensity and negatively impacted overall quality of life and depression levels more than other pain types.
- Results showed a significant relationship between intermenstrual pelvic pain and worse scores on quality of life and depressive measures, indicating that managing this type of pain may be crucial for improving patient outcomes.
Article Abstract
Background/aims: To investigate the independent importance of different types of pelvic pain on quality of life and depressive symptoms.
Methods: A cross-sectional study was performed on patients with pelvic pain. A 10-cm visual-analogue scale (VAS) was used to investigate intensity of intermenstrual pelvic pain, dysmenorrhea or deep dyspareunia. The SF-36 form and the Zung Self-Rating Scale for Depression (SDS) were used to investigate quality of life and depressive symptoms, respectively.
Results: The final study group consisted of 248 patients, 175/248 (70.6%) with intermenstrual pelvic pain, 46/248 (18.5%) with dysmenorrhea and 27/248 (10.9%) with deep dyspareunia associated or not with dysmenorrhea. Mean VAS score for dysmenorrhea was higher than that for deep dyspareunia (p < 0.003) and intermenstrual pelvic pain (p < 0.0001). Women with intermenstrual pelvic pain had the worst SF-36 (p < 0.0001) and SDS (p < 0.002) scores. SF-36 was independently and inversely related to intermenstrual pelvic pain (CR -1.522; 95% CI -2.188 to -0.856; p < 0.0001), and less strongly to dysmenorrhea (CR -0.729; 95% CI -1.487 to 0.030; p = 0.06). Indeed, only the physical component summary of SF-36 was independently related to dysmenorrhea (CR -0.956; 95% CI -1.783 to -0.129; p = 0.024). The SDS score was independently related only to intermenstrual pelvic pain (CR 0.573; 95% CI 0.241-0.904; p = 0.0008).
Conclusions: Patients with intermenstrual pelvic pain have the worst SF-36 and SDS scores. Intermenstrual pelvic pain seems to be more strongly associated with a reduced quality of life and depressive mood.
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| http://dx.doi.org/10.1159/000343997 | DOI Listing |
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