The psycho-functional state of women with abnormal uterine bleeding and chronic stress

Abstract

The objective: a study the levels of anxiety and stress in women with abnormal uterine bleeding (AUB) and chronic psycho-emotional stress. Materials and methods. We examined 100 women of reproductive age with AUB and chronic stress (basic group) and 50 patients with AUB without chronic stress (comparison group). 30 women without AUB and chronic stress were included in the control group. The AUB diagnosis according to the order No. 353 of the Ministry of Health of Ukraine dated April 13, 2016. The level of stress was assessed on Reeder stress scale, anxiety – scale of the Spielberger State-Trait Anxiety Inventory.Results. It was found that the mean trait anxiety score in all groups of women corresponded to the middle level, however, in patients with AUB and chronic stress, this indicator (44.07±1.05 points) was significantly higher than in the other two groups (40.08±1.20 points – in the comparison group and 37.80±1.29 – control group). The level of state anxiety in patients with AUB and chronic stress was high (48.15±0.85 points) and significantly more (p<0.001) relative to the patients with AUB without chronic psycho-emotional stress (42.42±1.21 points) and healthy women (39.80±1.43 points). The largest number of women with a high level of state anxiety was found in the basic group (58.00%, p=0.03) relative to the control group (33.33%). The mean of the stress level in patients with AUB and chronic stress was 2.11±0.05 points and was significantly less (p<0.001) relative to healthy women (2.94±0.09 points) and patients with AUB without chronic stress (2.88±0.05 points). A high level of stress was found in more than one third of patients in the basic group (37.00%) versus absence of such persons in the control and comparison groups (p<0.001). Conclusions. In women of reproductive age with AUB and chronic stress, there is an increase in the level of state anxiety and stress.