Religiosidade, saúde mental e qualidade de vida em mulheres com dor pélvica crônica
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2019-08-13
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Universidade Federal de Goiás
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Introduction: Chronic pelvic pain (CPP) in women can be associated with negative repercussions on mental health and quality of life. One of the strategies used to deal with mood disorders and chronic pain is religiosity. Objectives: To evaluate religiosity and its relationship with mental health, quality of life and the intensity of pain in women with CPP. Methods: Between October 2014 and February 2016, a cross-sectional study was conducted with 100 women with CPP at the outpatient clinic for patients with CPP at the Teaching Hospital of the Federal University of Goiás, Brazil. Religiosity was investigated using the Duke University Religion Index (DUREL), which consists of three domains: organizational religious activity (ORA), non-organizational religious activity (NORA) and intrinsic religiosity (IR). Quality of life was evaluated using the abbreviated version of the World Health Organization’s quality of life questionnaire (WHOQOL-BREF), which contains four domains: physical health, psychological health, social relationships and environment. The Hospital Anxiety and Depression Scale was used to identify anxiety, depression and mixed anxiety-depressive disorder (MADD). The intensity of pelvic pain was measured using a visual analog scale. The degree of association between the quality of life domains and the domains of religiosity was calculated using Spearman’s rank correlation coefficient. A beta-binomial regression model was used to compare the mean scores for the religiosity domains according to the presence or absence of anxiety, depression and MAAD, adjusted for possible confounding factors (age, skin color, schooling and body mass index). Results: The mean age of the participants was 37.8 ± 8.0 years. The mean duration of pain was 7.0 ± 6.0 years and the mean intensity of pain was 7.8 ± 2.1. Almost half the participants (49%) attended religious services at least once a week and 62% prayed or studied the bible at least once a day. There was no statistically significant difference in the mean ORA, NORA and IR scores in women with anxiety or depression in the unadjusted or adjusted analyses (all p-values >0.05). The mean IR score was 12.96 ± 2.48 for women with MADD and 13.98 ± 1.41 for those without MADD (p=0.04). There was a positive, albeit modest, association between IR and the psychological domain of the quality of life questionnaire (r= 0.206; p=0.04). There was no association between ORA (r= -0.056; p=0.58), NORA (r= 0.065; p=0.52) or IR (r= 0.150; p=0.14) and the intensity of pelvic pain. Conclusions: Women with CPP were strongly religious. Women with MADD had lower levels of intrinsic religiosity. Intrinsic religiosity was positively associated with the psychological health domain of quality of life in women with CPP. Furthermore, religiosity was not associated with the intensity of pelvic pain. These data suggest that healthcare professionals should take religiosity into account when treating women with CPP.
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NUNES, A. R. Religiosidade, saúde mental e qualidade de vida em mulheres com dor pélvica crônica. 2019. 102 f. Dissertação (Mestrado em Ciências da Saúde) - Universidade Federal de Goiás, Goiânia, 2019.