Abstract
The objective: a determination of anxiety and depression levels in patients in perimenopausal period with hyperplastic processes of the endometrium and myometrium.Materials and methods. 150 patients in the perimenopausal period were examined. The main group included 100 persons with hyperplastic process, the control group – 50 healthy women in perimenopausal period. We used the PHQ-2 and PHQ-9 questionnaires to study the level of anxiety and depression. In order to objectively assess the degree of anxiety and depressive symptoms, a questionnaire was conducted according to the Hospital Scale of Anxiety and Depression (HADS).Results. The analysis of data on the frequency of major types of extragenital pathology in the examined patients demonstrated that in the structure of extragenital pathology the following diseases dominated: varicose veins of the lower extremities – 61.0±4.9 %, arterial hypertension of 2–3 stages – 46.0±4.98 %; coronary heart disease, stenocardia – 8.0±2.7 %; obesity – 43.0±4.95 %, liver, gallbladder and pancreas pathologies – 42.0±4.93 %. In 78.0 % of patients, somatic pathology was represented by two or more diagnoses. The results of the survey demonstrated that in the main group 23.0 % of women had mild «subclinical» depression; 19.0 % – moderate, and 12.0 % – moderate depression. The women in the main group had the following psychoemotional disorders: the feeling of fatigue and exhaustion – 64.0±4.8 %, sleep disorders – 64.0±4.8 %, appetite problems – 46.0±4.98 %, depressed mood and low interest in ordinary affairs – 54.0±4.98 %, the difficulty concentrating – 33.0±4.7%, hypodynamia – 26.0±4.4 %. Four percent of patients intended to do something with themselves. Analysis of the results obtained using the HADS scale revealed that both anxiety and depressive symptoms in patients in the main group were more pronounced than in the control women.Conclusion. The identified psycho-emotional disorders are the result of adverse effects of somatic diseases and gynecological pathology. The results of the study indicate the need to correct psycho-emotional disorders and take them into account when choosing a method of treatment for such patients.
Highlights
Цель исследования: определение уровней тревожности и депрессии у пациенток в перименопаузальный период с наличием гиперпластических процессов эндо- и миометрия
The frequency of extragenital pathology in our examined patients is shown in table 1
Analysis of data on the frequency of major types of extragenital pathology in the examined patients showed that the structure of extragenital pathology was dominated by: varicose veins of the lower extremities – 61.0±4.9, arterial hypertension of 2–3 stages – 46.0±4.98; coronary heart disease, angina – 8.0±2.7; obesity – 43.0±4.95, liver, gallbladder and pancreas – 42.0±4.93
Summary
Цель исследования: определение уровней тревожности и депрессии у пациенток в перименопаузальный период с наличием гиперпластических процессов эндо- и миометрия. В основную группу включены 100 пациенток с гиперпластическими процессами эндо- и миометрия, в контрольную группу – 50 здоровых женщин в перименопаузальный период. Результаты анкетирования показали, что в основной группе 23,0% женщин имели легкую «субклиническую» депрессию, 19,0% – умеренного уровня и 12,0% – депрессию средней тяжести. Полученных с помощью шкалы HADS, обнаружил, что как тревожная, так и депрессивная симптоматика у пациенток основной группы была более выраженной, чем у женщин контрольной группы. The pathological course of physiological reorganization of the body of women in this period can be provoked by existing extragenital diseases (in 57.0–90.0% of women) and hyperplastic processes of the endometrium and myometrium (in 17.0–35.0%). Existing gynecological pathology has a negative impact on the quality of life of women, but, this fact is rarely paid attention in the process of choosing a method of treatment and rehabilitation [17]
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