Characteristics of psycho-emotional manifestations and evaluation of the quality of life indicators in women with ovarian endometrioma combined with pelvic inflammatory diseases

Abstract

The objective: an assessment of the psycho-emotional status and quality of life in women with endometrioid ovarian cysts combined with inflammatory diseases of the pelvic organs. Materials and methods. The study included 44 patients with endometrioid ovarian cysts combined with inflammatory processes of the pelvic organs (I group), and 46 women with isolated ovarian endometriosis (II group). The control group consisted of 30 patients without endometriosis and symptoms of chronic pelvic pain. The SF-36 questionnaire (The MOS 36-Item Short-Form Health Survey) was used to assess the quality of life, the level of depression and anxiety were determined by the Beck depression scale and the Spielberger–Khanin anxiety scale. Pain was assessed using a visual analogue scale. Results. The reasons for doctor’s visit were: menstrual irregularities (43.2% of patients in the I group and 34.8% – II group II), infertility (77.3% and 63.0%, respectively), miscarriage (13.6% and 8.7%), pain syndrome (up to 61.1% in general), as well as psycho-emotional and neurological conditions, urogenital disorders – cystalgia, irritable bowel syndrome, dysuria, frequent urination during menstruation, hematuria, dryness of the mucous membrane and dyspareunia. More than half of the women in the I group (56.8%) had severe pain combined with an expressed decrease in activity and transient disability, while in the II group only a quarter of the surveyed persons (23.9%) had pronounced manifestations of pelvic pain. The average level of depression in the II group was mild, while in the I group the parameters of moderate and mild depressive disorders were found in equal proportions. In the control group there were no manifestations of a depressive state. The indicators of trait anxiety and state anxiety scores in women in the I group were 52.12±12.26 and 49.84±8.29 points, respectively, in the II group – 40.12±10.22 and 44.26±6.24 points versus the data of the control group – 31.14±8.12 and 31.16±4.22 points (p<0.05). The results of the SF-36 questionnaire presented that the patients in the I group had lower quality of life parameters on the following scales: general health, physical functioning, the pain, dissatisfaction with the emotional state.Conclusions. In women with ovarian endometriosis combined with chronic pelvic inflammatory processes an increased level of anxiety and depression and significantly low indicators of all scales of the SF-36 questionnaire were determined.