Qualidade de vida e função sexual de mulheres com dor pélvica
Autor(a) principal: | |
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Data de Publicação: | 2018 |
Tipo de documento: | Tese |
Idioma: | por |
Título da fonte: | Repositório Institucional da UFG |
Texto Completo: | http://repositorio.bc.ufg.br/tede/handle/tede/9147 |
Resumo: | Objectives: To compare the quality of life (QoL) and sexual function of women with and without chronic pelvic pain and to investigate factors associated with QoL and sexual dysfunction in women with chronic pelvic pain. Methods: A cross-sectional study conducted between October 2014 and February 2016 at the gynecology outpatient clinic of the Federal University of Goiás Teaching Hospital, Goiânia, Goiás, Brazil evaluated 200 women, 100 with and 100 without chronic pelvic pain. Sociodemographic, clinical and behavioral characteristics were investigated. Pain intensity was measured using a visual analogue scale. QoL was evaluated using the World Health Organization’s short-form WHOQOL-BREF questionnaire, and the Female Sexual Function Index was used to evaluate sexual function. Anxiety and depression were investigated using the Hospital Anxiety and Depression Scale. Student’s ttest, the chi-square test and the Mann-Whitney test were used to compare sociodemographic, clinical and behavioral characteristics between the groups. A generalized linear model was used to compare QoL and sexual function scores between the groups and to identify factors associated with QoL in the women with chronic pelvic pain. Multiple logistic regression analysis was used to identify factors associated with sexual dysfunction in women with chronic pelvic pain. Results: The mean age of the participants with chronic pelvic pain was 37.8 ± 8.0 years compared to 37.2 ± 9.6 years for those without this condition (p=0.648). Analysis adjusted for potential confounding factors showed that women with chronic pelvic pain had significantly lower QoL scores for the physical health (p<0.001) and social relationships (p=0.025) domains. Anxiety, depression, pain intensity, diabetes mellitus, arterial hypertension, sexual dysfunction, lower monthly income and marital status (not having a partner) were factors found to be negatively associated with QoL. Employment status (being employed/in paid work), parity (≥ 1) and menopausal status (postmenopausal) were positively associated with QoL. The prevalence of sexual dysfunction was 81% in the women with chronic pelvic pain and 58% in those without it (p=0.003). Women with chronic pelvic pain had significantly lower scores in the desire (p=0.038), arousal (p=0.002), lubrication (p=0.011), orgasm (p<0.002) and pain (p<0.001) domains. There were no statistically significant differences with respect to the satisfaction domain or the overall score. Depression was the only factor found to be positively and independently associated with sexual dysfunction in women with chronic pelvic pain (p=0.012). Conclusions: QoL was poorer in the group of women with chronic pelvic pain, with various factors being negatively associated with QoL in this group. Sexual dysfunction was also more common in the group with chronic pelvic pain, with these women scoring lower in most of the sexual function domains. Depression was positively associated with sexual dysfunction in the chronic pelvic pain group. These findings highlight the need to take into consideration the influence of various different factors that affect the QoL of women with chronic pelvic pain. Furthermore, these results suggest that women with chronic pelvic pain should be routinely screened for sexual dysfunction, taking into account the effect of psychological factors. |
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Conde, Délio Marqueshttp://lattes.cnpq.br/8628571386803692Deus, José Miguel dehttp://lattes.cnpq.br/8644071247922633Conde, Délio MarquesSilveira, Mariluza TerraFinotti, Marta Curado Carvalho FrancoRahal, Rosemar Macedo SousaCosta, Zelma Bernardeshttp://lattes.cnpq.br/2863181428599057Luz, Rosa Azevedo da2018-12-13T11:41:37Z2018-07-26LUZ, Rosa Azevedo da. Qualidade de vida e função sexual de mulheres com dor pélvica. 2018. 150 f. Tese (Doutorado em Ciências da Saúde) - Universidade Federal de Goiás, Goiânia, 2018.http://repositorio.bc.ufg.br/tede/handle/tede/9147Objectives: To compare the quality of life (QoL) and sexual function of women with and without chronic pelvic pain and to investigate factors associated with QoL and sexual dysfunction in women with chronic pelvic pain. Methods: A cross-sectional study conducted between October 2014 and February 2016 at the gynecology outpatient clinic of the Federal University of Goiás Teaching Hospital, Goiânia, Goiás, Brazil evaluated 200 women, 100 with and 100 without chronic pelvic pain. Sociodemographic, clinical and behavioral characteristics were investigated. Pain intensity was measured using a visual analogue scale. QoL was evaluated using the World Health Organization’s short-form WHOQOL-BREF questionnaire, and the Female Sexual Function Index was used to evaluate sexual function. Anxiety and depression were investigated using the Hospital Anxiety and Depression Scale. Student’s ttest, the chi-square test and the Mann-Whitney test were used to compare sociodemographic, clinical and behavioral characteristics between the groups. A generalized linear model was used to compare QoL and sexual function scores between the groups and to identify factors associated with QoL in the women with chronic pelvic pain. Multiple logistic regression analysis was used to identify factors associated with sexual dysfunction in women with chronic pelvic pain. Results: The mean age of the participants with chronic pelvic pain was 37.8 ± 8.0 years compared to 37.2 ± 9.6 years for those without this condition (p=0.648). Analysis adjusted for potential confounding factors showed that women with chronic pelvic pain had significantly lower QoL scores for the physical health (p<0.001) and social relationships (p=0.025) domains. Anxiety, depression, pain intensity, diabetes mellitus, arterial hypertension, sexual dysfunction, lower monthly income and marital status (not having a partner) were factors found to be negatively associated with QoL. Employment status (being employed/in paid work), parity (≥ 1) and menopausal status (postmenopausal) were positively associated with QoL. The prevalence of sexual dysfunction was 81% in the women with chronic pelvic pain and 58% in those without it (p=0.003). Women with chronic pelvic pain had significantly lower scores in the desire (p=0.038), arousal (p=0.002), lubrication (p=0.011), orgasm (p<0.002) and pain (p<0.001) domains. There were no statistically significant differences with respect to the satisfaction domain or the overall score. Depression was the only factor found to be positively and independently associated with sexual dysfunction in women with chronic pelvic pain (p=0.012). Conclusions: QoL was poorer in the group of women with chronic pelvic pain, with various factors being negatively associated with QoL in this group. Sexual dysfunction was also more common in the group with chronic pelvic pain, with these women scoring lower in most of the sexual function domains. Depression was positively associated with sexual dysfunction in the chronic pelvic pain group. These findings highlight the need to take into consideration the influence of various different factors that affect the QoL of women with chronic pelvic pain. Furthermore, these results suggest that women with chronic pelvic pain should be routinely screened for sexual dysfunction, taking into account the effect of psychological factors.Objetivos: Comparar a qualidade de vida e a função sexual entre mulheres com e sem dor pélvica crônica e investigar os fatores associados à qualidade de vida e à disfunção sexual de mulheres com dor pélvica crônica. Métodos: Conduziu-se um estudo de corte transversal entre outubro de 2014 e fevereiro de 2016, no Ambulatório de Ginecologia do Hospital das Clínicas da Universidade Federal de Goiás, Goiânia, Goiás, Brasil. Participaram do estudo 200 mulheres, sendo 100 com dor pélvica crônica e 100 sem dor pélvica crônica. Foram investigadas características sociodemográficas, clínicas e comportamentais. A intensidade da dor foi aferida aplicando-se a escala analógica visual. A qualidade de vida foi avaliada por meio do questionário da Organização Mundial de Saúde o WHOQOL-versão abreviada. Para avaliar a função sexual utilizou-se o Female Sexual Function Index. Ansiedade e depressão foram investigadas, utilizando-se a Escala Hospitalar de Ansiedade e Depressão. Para comparar as características sociodemográficas, clínicas e comportamentais entre os dois grupos foram utilizados os testes t de Student, Qui-quadrado e Mann-Whitney. Utilizou-se o modelo linear generalizado para comparar os escores de qualidade de vida e de função sexual entre os grupos e identificar os fatores associados à qualidade de vida de mulheres com dor pélvica crônica. Utilizou-se a análise de regressão logística múltipla para identificar os fatores associados à disfunção sexual de mulheres com dor pélvica crônica. Resultados: A média de idade das participantes com dor pélvica crônica foi de 37,8±8,0 anos e daquelas sem dor pélvica crônica de 37,2±9,6 anos (p=0,648). Após a análise ajustada por potenciais variáveis confundidoras, mulheres com dor pélvica crônica apresentaram escores significativamente menores de qualidade de vida nos domínios físico (p< 0,001) e relações sociais (p=0,025). Verificou-se que ansiedade, depressão, intensidade da dor, diabetes mellitus, hipertensão arterial, disfunção sexual, menor renda familiar mensal e estado marital (sem companheiro) associaram-se negativamente à qualidade de vida. A situação de trabalho (estar empregada/ter um trabalho remunerado), paridade (≥1) e estado menopausal (pósmenopausa) relacionaram-se positivamente à qualidade de vida. A prevalência de disfunção sexual foi de 81% em mulheres com dor pélvica crônica e de 58% em mulheres sem dor pélvica crônica (p=0,003). Mulheres com dor pélvica crônica apresentaram escores significativamente menores nos domínios desejo (p=0,038), excitação (p=0,002), lubrificação (p=0,011), orgasmo (p<0,002) e dor (p<0,001). Não houve diferença significativa no domínio satisfação e no escore total. Depressão foi o único fator associado positivamente e independentemente à disfunção sexual de mulheres com dor pélvica crônica (p=0,012). Conclusões: Mulheres com dor pélvica crônica apresentaram pior qualidade de vida do que aquelas sem dor pélvica crônica. Foram identificados vários fatores que se associaram negativamente à qualidade de vida de mulheres com dor pélvica crônica. A disfunção sexual foi mais comum em mulheres com dor pélvica crônica do que em mulheres sem dor pélvica crônica. Mulheres com dor pélvica crônica apresentaram menores escores na maioria dos domínios da função sexual. A depressão associou-se positivamente à disfunção sexual de mulheres com dor pélvica crônica. Estes achados demonstram a necessidade de considerar a influência de diversos fatores sobre a qualidade de vida de mulheres com dor pélvica crônica. Além disso, os achados indicam a necessidade de rastrear rotineiramente a disfunção sexual em mulheres com dor pélvica crônica, considerando a influência de fatores psicológicos.Submitted by Luciana Ferreira (lucgeral@gmail.com) on 2018-12-13T10:42:05Z No. of bitstreams: 2 Tese - Rosa Azevedo da Luz - 2018.pdf: 1830561 bytes, checksum: 8a560c6377396b6810e18029f452005b (MD5) license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5)Approved for entry into archive by Luciana Ferreira (lucgeral@gmail.com) on 2018-12-13T11:41:37Z (GMT) No. of bitstreams: 2 Tese - Rosa Azevedo da Luz - 2018.pdf: 1830561 bytes, checksum: 8a560c6377396b6810e18029f452005b (MD5) license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5)Made available in DSpace on 2018-12-13T11:41:37Z (GMT). No. of bitstreams: 2 Tese - Rosa Azevedo da Luz - 2018.pdf: 1830561 bytes, checksum: 8a560c6377396b6810e18029f452005b (MD5) license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) Previous issue date: 2018-07-26application/pdfporUniversidade Federal de GoiásPrograma de Pós-graduação em Ciências da Saúde (FM)UFGBrasilFaculdade de Medicina - FM (RG)http://creativecommons.org/licenses/by-nc-nd/4.0/info:eu-repo/semantics/openAccessQualidade de vidaDor pélvicaFunção sexualMulherEstudos transversaisQuality of lifePelvic painSexual functionWomenCross-sectional studiesCIENCIAS DA SAUDE::MEDICINAQualidade de vida e função sexual de mulheres com dor pélvicaQuality of life and sexual function of women with chronic pelvic paininfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/doctoralThesis-10068643126177453106006006001545772475950486338-969369452308786627reponame:Repositório Institucional da UFGinstname:Universidade Federal de Goiás (UFG)instacron:UFGLICENSElicense.txtlicense.txttext/plain; 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dc.title.eng.fl_str_mv |
Qualidade de vida e função sexual de mulheres com dor pélvica |
dc.title.alternative.por.fl_str_mv |
Quality of life and sexual function of women with chronic pelvic pain |
title |
Qualidade de vida e função sexual de mulheres com dor pélvica |
spellingShingle |
Qualidade de vida e função sexual de mulheres com dor pélvica Luz, Rosa Azevedo da Qualidade de vida Dor pélvica Função sexual Mulher Estudos transversais Quality of life Pelvic pain Sexual function Women Cross-sectional studies CIENCIAS DA SAUDE::MEDICINA |
title_short |
Qualidade de vida e função sexual de mulheres com dor pélvica |
title_full |
Qualidade de vida e função sexual de mulheres com dor pélvica |
title_fullStr |
Qualidade de vida e função sexual de mulheres com dor pélvica |
title_full_unstemmed |
Qualidade de vida e função sexual de mulheres com dor pélvica |
title_sort |
Qualidade de vida e função sexual de mulheres com dor pélvica |
author |
Luz, Rosa Azevedo da |
author_facet |
Luz, Rosa Azevedo da |
author_role |
author |
dc.contributor.advisor1.fl_str_mv |
Conde, Délio Marques |
dc.contributor.advisor1Lattes.fl_str_mv |
http://lattes.cnpq.br/8628571386803692 |
dc.contributor.advisor-co1.fl_str_mv |
Deus, José Miguel de |
dc.contributor.advisor-co1Lattes.fl_str_mv |
http://lattes.cnpq.br/8644071247922633 |
dc.contributor.referee1.fl_str_mv |
Conde, Délio Marques |
dc.contributor.referee2.fl_str_mv |
Silveira, Mariluza Terra |
dc.contributor.referee3.fl_str_mv |
Finotti, Marta Curado Carvalho Franco |
dc.contributor.referee4.fl_str_mv |
Rahal, Rosemar Macedo Sousa |
dc.contributor.referee5.fl_str_mv |
Costa, Zelma Bernardes |
dc.contributor.authorLattes.fl_str_mv |
http://lattes.cnpq.br/2863181428599057 |
dc.contributor.author.fl_str_mv |
Luz, Rosa Azevedo da |
contributor_str_mv |
Conde, Délio Marques Deus, José Miguel de Conde, Délio Marques Silveira, Mariluza Terra Finotti, Marta Curado Carvalho Franco Rahal, Rosemar Macedo Sousa Costa, Zelma Bernardes |
dc.subject.por.fl_str_mv |
Qualidade de vida Dor pélvica Função sexual Mulher Estudos transversais |
topic |
Qualidade de vida Dor pélvica Função sexual Mulher Estudos transversais Quality of life Pelvic pain Sexual function Women Cross-sectional studies CIENCIAS DA SAUDE::MEDICINA |
dc.subject.eng.fl_str_mv |
Quality of life Pelvic pain Sexual function Women Cross-sectional studies |
dc.subject.cnpq.fl_str_mv |
CIENCIAS DA SAUDE::MEDICINA |
description |
Objectives: To compare the quality of life (QoL) and sexual function of women with and without chronic pelvic pain and to investigate factors associated with QoL and sexual dysfunction in women with chronic pelvic pain. Methods: A cross-sectional study conducted between October 2014 and February 2016 at the gynecology outpatient clinic of the Federal University of Goiás Teaching Hospital, Goiânia, Goiás, Brazil evaluated 200 women, 100 with and 100 without chronic pelvic pain. Sociodemographic, clinical and behavioral characteristics were investigated. Pain intensity was measured using a visual analogue scale. QoL was evaluated using the World Health Organization’s short-form WHOQOL-BREF questionnaire, and the Female Sexual Function Index was used to evaluate sexual function. Anxiety and depression were investigated using the Hospital Anxiety and Depression Scale. Student’s ttest, the chi-square test and the Mann-Whitney test were used to compare sociodemographic, clinical and behavioral characteristics between the groups. A generalized linear model was used to compare QoL and sexual function scores between the groups and to identify factors associated with QoL in the women with chronic pelvic pain. Multiple logistic regression analysis was used to identify factors associated with sexual dysfunction in women with chronic pelvic pain. Results: The mean age of the participants with chronic pelvic pain was 37.8 ± 8.0 years compared to 37.2 ± 9.6 years for those without this condition (p=0.648). Analysis adjusted for potential confounding factors showed that women with chronic pelvic pain had significantly lower QoL scores for the physical health (p<0.001) and social relationships (p=0.025) domains. Anxiety, depression, pain intensity, diabetes mellitus, arterial hypertension, sexual dysfunction, lower monthly income and marital status (not having a partner) were factors found to be negatively associated with QoL. Employment status (being employed/in paid work), parity (≥ 1) and menopausal status (postmenopausal) were positively associated with QoL. The prevalence of sexual dysfunction was 81% in the women with chronic pelvic pain and 58% in those without it (p=0.003). Women with chronic pelvic pain had significantly lower scores in the desire (p=0.038), arousal (p=0.002), lubrication (p=0.011), orgasm (p<0.002) and pain (p<0.001) domains. There were no statistically significant differences with respect to the satisfaction domain or the overall score. Depression was the only factor found to be positively and independently associated with sexual dysfunction in women with chronic pelvic pain (p=0.012). Conclusions: QoL was poorer in the group of women with chronic pelvic pain, with various factors being negatively associated with QoL in this group. Sexual dysfunction was also more common in the group with chronic pelvic pain, with these women scoring lower in most of the sexual function domains. Depression was positively associated with sexual dysfunction in the chronic pelvic pain group. These findings highlight the need to take into consideration the influence of various different factors that affect the QoL of women with chronic pelvic pain. Furthermore, these results suggest that women with chronic pelvic pain should be routinely screened for sexual dysfunction, taking into account the effect of psychological factors. |
publishDate |
2018 |
dc.date.accessioned.fl_str_mv |
2018-12-13T11:41:37Z |
dc.date.issued.fl_str_mv |
2018-07-26 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/doctoralThesis |
format |
doctoralThesis |
status_str |
publishedVersion |
dc.identifier.citation.fl_str_mv |
LUZ, Rosa Azevedo da. Qualidade de vida e função sexual de mulheres com dor pélvica. 2018. 150 f. Tese (Doutorado em Ciências da Saúde) - Universidade Federal de Goiás, Goiânia, 2018. |
dc.identifier.uri.fl_str_mv |
http://repositorio.bc.ufg.br/tede/handle/tede/9147 |
identifier_str_mv |
LUZ, Rosa Azevedo da. Qualidade de vida e função sexual de mulheres com dor pélvica. 2018. 150 f. Tese (Doutorado em Ciências da Saúde) - Universidade Federal de Goiás, Goiânia, 2018. |
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http://repositorio.bc.ufg.br/tede/handle/tede/9147 |
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por |
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por |
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openAccess |
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Universidade Federal de Goiás |
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Programa de Pós-graduação em Ciências da Saúde (FM) |
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UFG |
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Brasil |
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Faculdade de Medicina - FM (RG) |
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Universidade Federal de Goiás |
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Repositório Institucional da UFG |
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