Abstract
BackgroundThe incidence of intrauterine adhesions has been increasing in recent years, seriously affecting women’s health. This study aimed to investigate the psychological status and identify risk factors associated with high psychological distress in patients with intrauterine adhesions.MethodsA cross-sectional study was conducted in Hunan Province, China. A total of 258 patients who presented with intrauterine adhesions between February and May 2018 were included. Data were collected by a questionnaire packet that included the Depression Anxiety Stress Scale, the Medical Coping Mode Questionnaire, and demographic and clinical information. Descriptive statistics, t-tests, one-way ANOVA, Pearson’s correlations and multiple linear stepwise regression were employed in this study.ResultsAmong 258 participants, the detection rates of mild depression and moderate to extremely severe depression were 10.1% and 10.5%, respectively; the detection rates of mild anxiety and moderate to extremely severe anxiety were 11.2% and 20.2%, respectively; the detection rates of mild stress and moderate to extremely severe stress were 9.3% and 10.2%, respectively. Avoidance and resignation coping were positively correlated with the overall scores of general distress which represents the total scores of the Depression Anxiety Stress Scale (r = 0.171, 0.475, P < 0.01). Multiple linear stepwise regression results showed that husband-wife relationships and avoidance and resignation coping strategies were the main factors predicting general distress levels.ConclusionsPatients with intrauterine adhesions have psychological distress in a certain extent. Target interventions should be taken to improve the mental health level of patients.
Highlights
An intrauterine adhesion (IUA) is a recognized cause of secondary amenorrhea and, secondary infertility [1, 2]
Avoidance and resignation coping were positively correlated with the overall scores of general distress which represents the total scores of the Depression Anxiety Stress Scale (r = 0.171, 0.475, P < 0.01)
It is a form of disease that causes the uterine muscle walls to adhere to each other due to the basal layers of the endometrium being damaged by various factors; a partial or complete occlusion of the uterine cavity, known as Asherman syndrome[3]
Summary
An intrauterine adhesion (IUA) is a recognized cause of secondary amenorrhea and, secondary infertility [1, 2]. The incidence of infertility caused by IUA is 43%, and the incidence of IUA in infertility patients is as high as 13% [4]. The incidence of IUA caused by uterine cavity operation is 25%-30%, and the incidence of IUA caused by curettage after abortion is 93% [5, 6]. With the increase in uterine cavity surgery, IUA incidence has been increasing, seriously affecting women’s reproductive function, menstrual physiology, and physical and mental health [8, 9]. The incidence of intrauterine adhesions has been increasing in recent years, seriously affecting women’s health. This study aimed to investigate the psychological status and identify risk factors associated with high psychological distress in patients with intrauterine adhesions
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