对面临疼痛的患者的精神病学影响:对子宫内膜异位症的关注
Cassandra Guillemot1, Joséphine Klinkenberg1, Florence Sordes1
1Université Toulouse, laboratoire centre d'études et de recherches en psychopathologie et psychologie de la santé (CERPPS), EA7411, 5, allées Antonio-Machado, 31058 Toulouse cedex 9, France.
L'Encephale
|September 25, 2023
概括
子宫内膜异位症显著影响妇女的生活质量,慢性疼痛与自尊心降低和心理痛苦增加有关. 综合护理对于解决这些相互关联的问题至关重要.
科学领域:
- 妇科健康 妇科健康
- 慢性疼痛管理 慢性疼痛管理
- 疾病对心理的影响.
背景情况:
- 在法国,子宫内膜异位症会影响1-2/10的生育年龄妇女.
- 具有慢性和渐进性妇科疾病的特征.
- 显著的疼痛症状 (75%) 影响日常生活.
研究的目的:
- 确定影响子宫内膜异位症患者生活质量的因素.
- 调查子宫内膜异位症相关疼痛的心理影响.
- 评估影响生活质量的心理过程.
主要方法:
- 1039名女性 (18-55岁) 填写了自我管理的问卷.
- 评估疼痛强度,身体形象 (BIS),自尊 (Rosenberg),焦虑抑郁症状 (HAD) 和生活质量 (SF-36).
- 收集了社会-传记和医学特征.
主要成果:
- 慢性疼痛患者报告自尊心降低,身体形象较差,焦虑抑郁症状更多.
- 慢性疼痛患者的生活质量明显较差.
- 身体和精神生活质量的决定因素因疼痛类型而异.
结论:
- 子宫内膜异位症疼痛导致多个相互关联的问题.
- 心理障碍既可能是疼痛的结果,也可能是疼痛的恶化.
- 综合护理对于管理子宫内膜异位症至关重要.
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