Anxiety in Endometriosis Patients: Implications for Clinical Practice

被引:0
作者
Kupec, Tomas [1 ]
Caspers, Rebecca [1 ]
Meyer-Wilmes, Philipp [1 ]
Najjari, Laila [1 ]
Stickeler, Elmar [1 ]
Wittenborn, Julia [1 ]
机构
[1] Univ Hosp RWTH Aachen, Clin Gynaecol & Obstet, Pauwelsstr 30, D-52074 Aachen, Germany
关键词
endometriosis; STAI; anxiety; multimodal therapy; Endometriose; Angst; multimodale Therapie; AUSTRIA; GERMANY; BIAS;
D O I
10.1055/a-2360-4604
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
Introduction Endometriosis is a chronic disease associated with pain that affects at least 10% of all women of reproductive age. The symptoms of endometriosis have a negative impact on quality of life; they limit the patient physically and psychologically and are the cause of significant anxiety. The aim of our study was to investigate the anxiety levels of women presenting to our specialized endometriosis outpatient clinic at the RWTH Aachen University Hospital. We sought to record their anxiety symptoms and investigate the effect of extensive counseling on anxiety in patients with endometriosis. We hypothesized that detailed counseling and the planning of multimodal endometriosis therapy would reduce anxiety. Material and Methods Data from 183 patients with lower abdominal pain or suspected endometriosis were analyzed. Prior to the examination, the patients completed a standardized anamnesis form including the German version of the STAI (State Trait Anxiety Inventory). The diagnosis of endometriosis was made in accordance with the recent ESHRE guideline and was based on anamnesis, gynecological examination, and ultrasound by a specialist senior physician with many years of experience in treating endometriosis. Results Prior to the medical examination, we observed a mean STAI-State score of 48.44 +/- 11.56 and STAI-Trait score 45.68 +/- 11.27. Following medical examination and planning of multimodal therapy, there was a significant decrease in the mean STAI-State score from 48.44 +/- 11.56 to 42.43 +/- 10.01 (p < 0.0001) and a minimal but significant decrease in the mean STAI-Trait score from 45.68 +/- 11.27 to 45.01 +/- 11.57 (p < 0.05). Conclusion Our study showed that endometriosis is associated with high levels of anxiety. Detailed counseling and the planning of a multimodal therapy led to a significant improvement in anxiety levels.
引用
收藏
页数:7
相关论文
共 29 条
[1]   Reduced Heart Rate Variability in Social Anxiety Disorder: Associations with Gender and Symptom Severity [J].
Alvares, Gail A. ;
Quintana, Daniel S. ;
Kemp, Andrew H. ;
Van Zwieten, Anita ;
Balleine, Bernard W. ;
Hickie, Ian B. ;
Guastella, Adam J. .
PLOS ONE, 2013, 8 (07)
[2]   The unbearable burden of endometriosis: Results from a large cohort about anxiety reduction during the first outpatient evaluation [J].
Arena, Alessandro ;
Orsini, Benedetta ;
Degli Esposti, Eugenia ;
Manzara, Federica ;
Ambrosio, Marco ;
Raimondo, Diego ;
Lenzi, Jacopo ;
Casadio, Paolo ;
Seracchioli, Renato .
JOURNAL OF PSYCHOSOMATIC RESEARCH, 2021, 147
[3]   The Prevalence and Educational Impact of Pelvic and Menstrual Pain in Australia: A National Online Survey of 4202 Young Women Aged 13-25 Years [J].
Armour, Mike ;
Ferfolja, Tania ;
Curry, Christina ;
Hyman, Mikayla S. ;
Parry, Kelly ;
Chalmers, K. Jane ;
Smith, Caroline A. ;
MacMillan, Freya ;
Holmes, Kathryn .
JOURNAL OF PEDIATRIC AND ADOLESCENT GYNECOLOGY, 2020, 33 (05) :511-518
[4]   Laparoscopic surgery for endometriosis [J].
Bafort, Celine ;
Beebeejaun, Yusuf ;
Tomassetti, Carla ;
Bosteels, Jan ;
Duffy, James M. N. .
COCHRANE DATABASE OF SYSTEMATIC REVIEWS, 2020, (10)
[5]   ESHRE guideline: endometriosis [J].
Becker, Christian M. ;
Bokor, Attila ;
Heikinheimo, Oskari ;
Horne, Andrew ;
Jansen, Femke ;
Kiesel, Ludwig ;
King, Kathleen ;
Kvaskoff, Marina ;
Nap, Annemiek ;
Petersen, Katrine ;
Saridogan, Ertan ;
Tomassetti, Carla ;
van Hanegem, Nehalennia ;
Vulliemoz, Nicolas ;
Vermeulen, Nathalie .
HUMAN REPRODUCTION OPEN, 2022, 2022 (02)
[6]   Patients with Endometriosis in a Gynaecologic Rehabilitation Clinic [J].
Brandes, I. ;
Niehues, C. .
PHYSIKALISCHE MEDIZIN REHABILITATIONSMEDIZIN KURORTMEDIZIN, 2011, 21 (05) :227-233
[7]   Diagnosis and Treatment of Endometriosis. Guideline of the DGGG, SGGG and OEGGG (S2k Level, AWMF Registry Number 015/045, August 2020) [J].
Burghaus, Stefanie ;
Schaefer, Sebastian D. ;
Beckmann, Matthias W. ;
Brandes, Iris ;
Bruenahl, Christian ;
Chvatal, Radek ;
Drahonovsky, Jan ;
Dudek, Wojciech ;
Ebert, Andreas D. ;
Fahlbusch, Christine ;
Fehm, Tanja ;
Fehr, Peter Martin ;
Hack, Carolin C. ;
Haeuser, Winfried ;
Hancke, Katharina ;
Heinecke, Volker ;
Horn, Lars-Christian ;
Houbois, Christian ;
Klapp, Christine ;
Kramer, Heike ;
Krentel, Harald ;
Langrehr, Jan ;
Matuschewski, Heike ;
Mayer, Ines ;
Mechsner, Sylvia ;
Mueller, Andreas ;
Mueller, Armelle ;
Mueller, Michael ;
Oppelt, Peter ;
Papathemelis, Thomas ;
Renner, Stefan P. ;
Schmidt, Dietmar ;
Schuering, Andreas ;
Schweppe, Karl-Werner ;
Seeber, Beata ;
Siedentopf, Friederike ;
Sirbu, Horia ;
Soeffge, Daniela ;
Weidner, Kerstin ;
Zraik, Isabella ;
Ulrich, Uwe Andreas .
GEBURTSHILFE UND FRAUENHEILKUNDE, 2021, 81 (04) :422-445
[8]   Standards Used by a Clinical and Scientific Endometriosis Center for the Diagnosis and Therapy of Patients with Endometriosis [J].
Burghaus, Stefanie ;
Hildebrandt, Thomas ;
Fahlbusch, Christine ;
Heusinger, Katharina ;
Antoniadis, Sophia ;
Lermann, Johannes ;
Hackl, Janina ;
Haeberle, Lothar ;
Renner, Stefan P. ;
Fasching, Peter A. ;
Beckmann, MatthiasW. ;
Blum, Simon .
GEBURTSHILFE UND FRAUENHEILKUNDE, 2019, 79 (05) :487-497
[9]  
Deutsche Gesellschaft fr Gynkologie und Geburtshilfe e.V. (DGGG), 2020, S2k-Leitlinie Diagnostik und Therapie der Endometriose
[10]   The role of socio-demographic factors in depression and anxiety of patients on hemodialysis: an observational cross-sectional study [J].
Gerogianni, G. ;
Lianos, E. ;
Kouzoupis, A. ;
Polikandrioti, M. ;
Grapsa, E. .
INTERNATIONAL UROLOGY AND NEPHROLOGY, 2018, 50 (01) :143-154