与vulvodynia相关的心理社会因素
Janice F Queiroz1, Antonio C Q Aquino1, Ayane C A Sarmento
1Postgraduate Program in Health Sciences, Federal University of Rio Grande do Norte (UFRN), Natal, Brazil.
Journal of lower genital tract disease
|May 2, 2024
概括
心理社会因素,如焦虑和抑郁,与vulvodynia有关,影响性功能和生活质量. 解决这些心理健康问题可能会改善患者的幸福感.
科学领域:
- 妇科 妇科医生 妇科
- 心理学 心理学 心理学
- 公共卫生 公共卫生
背景情况:
- 伏尔沃迪尼亚是一种慢性疼痛疾病,影响女性的生活质量.
- 心理社会因素越来越多地被认为是导致vulvodynia的重要因素.
- 了解这些关联对于开发有效的治疗策略至关重要.
研究的目的:
- 为了确定与vulvodynia相关的心理社会因素.
- 研究这些因素对性,心理健康和生活质量的影响.
- 综合了关于狼症和心理社会相关的观察性研究的证据.
主要方法:
- 在2023年8月的多个数据库 (PubMed,LILACS,Embase,CINAHL,Web of Science,Scopus,PsycINFO) 进行全面的文献搜索.
- 两个作者独立选择和提取数据.
- 使用纽卡斯尔-太华尺度进行偏差风险评估,使用GRADE方法进行证据强度评估.
主要成果:
- 包括22项观察性研究 (8个队列,14个病例控制) 涉及2624名患者.
- 狼症与心理因素 (焦虑,抑郁) 和社会因素 (童年虐待,创伤后应激障碍,家庭虐待) 有关.
- 常见的结局包括失精症和性功能障碍;关于生活质量的数据有限,表明身体活动困难和负面情绪.
结论:
- 有证据表明,焦虑,抑郁,性欲失调和性功能之间存在联系.
- 针对心理因素的干预措施可以改善vulvodynia患者的生活质量.
- 需要进一步的研究来解决研究设计的局限性,并使元分析成为可能.
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