Features of psychological status in women with functional ovarian cysts

Abstract

Aim. To analyze the psychological status indices in women with functional cysts of the ovaries.
 Materials and methods. The group of observation (group I) included 35 women with functional ovarian cysts (follicular and yellow body cysts), the group of comparison (group II) 34 patients with no cysts available and normal ovarian volume. The mean age of the patients examined was 28.7 5.2 and 29.3 4.8 years, respectively. The methods used included registration of complaints and anamnesis data, standard general clinical and gynecological studies, ultrasound scanning of pelvic organs using apparatus Sonoscape 6000, survey with Beck Depression Inventory, Spielberger-HaninScale, MOS SF-36.
 Results. Health status of women with functional cysts of the ovaries is characterized by abdominal pain syndrome (91.3 % and 14.7 6.0%; p 0.001), mastodynia in the second phase of cycle (37.1 % and 8.8 4.9 %; p 0.01), dysmenorrhea (37.1 % and 14.7 6.0 %; p 0.05) that undoubtedly influences the indices of psychoemotional status. It is worth noting that the prevalence of smoking among women of group I is high (26.5 % and 2.9 % respectively; p 0.01). The characteristic features of psychological status of group I patients are the following: high level of reactive anxiety (Spielberger-Hanin Anxiety Scale 45.7 1.9 and 35.8 0.9 scores; p 0.001), elevated level of depression (Beck scale 18.9 3.4 and 9.5 5.3 scores; p 0.01) and, as a result, decrease in the quality of life, especially with the Role Functioning Scale (25.71, 61.79 scores, p 0.01) and Social Functioning Scale (26.60 and 62.93 scores, p 0.05).
 Conclusions. Improvement of health among women with functional ovarian cysts should be complex and include modification of the way of life (refusal from smoking), anti-inflammatory therapy, correction of hypothalamic-pituitary dysfunction and psychological status.